VBS 2024 @ Sugar Grove

If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)
Personal Information

T-shirt registration deadline is Wednesday, May 29, 2024. Classes will be filled on a first-come/first-served basis. PK/K will be capped at 90 total students. Grades 1st - 6th will have a capacity of 55 students per grade. Should you register and then not be able to attend, please let us know of this change by contacting our VBS Director, Monica Williams. monica.williams@villagebible.org
*Participant's First Name:
*Participant's Last Name:
*Parent/Guardian Name:
*Cell Phone:
*Grade in fall of 2024:
*T-Shirt Size:
*Church attendance:
(Do you regularly attend Village Bible Church in Sugar Grove?)
Church Name:
(If you attend a different church, please list the name of your home church.)
Allergies, Medical & Special Needs:
(Note that VBS snacks will be altered according to the allergies listed here. Leave blank if not applicable)
*Health Insurance Company:
*Insurance Policy Number:
*Physician's Name:
*Physician's Phone Number:
*Medical authorization in case of an emergency:
*Emergency Contact Name (1):
*Emergency Contact Phone (1):
*Authorized Pickup #1:
Authorized Pickup #2: