2026 VBS Registration

Parent Information
Mother's Name*

First NameLast Name
Mother's Phone*
Format: (000) 000-0000.
Father's Name*

First NameLast Name
Father's Phone*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Email for Communication: *

Confirmation Emailexample@example.com
Secondary Email (optional)

Confirmation Emailexample@example.com
Email Communication

Email addresses are added into our Evangelus email system. When you receive the invitation to join VBS 2026, please do not decline. If you do, please check your spam or junk folder for notifications. You may also find updates on our website at www.sppnb.org/vbs
Medical Information

IF YOU ARE REGISTERING MORE THAN ONE CHILD, please list child by name and then the medical condition or medication for that child. Thank you.
Does your student have any allergies (seasonal, medicine, food, etc.)? If registering more than one child, please list the child by name and then the allergy. *
Example: Jane Smith, allergy to peanuts
Current prescription medications or medical conditions we should know about: If registering more than one child, please list the child by name. *
Example: Joe Smith, ADHD
In case of emergency and neither parent is available, please notify:
First Name*   Last Name*      Phone*     Relationship*

First Name*   Last Name*      Phone*     Relationship*
Releases
YesNo
YesNo
YesNo
YesNo
Payment Information

We accept cash, check, Visa, Mastercard and Discover. No one is ever denied participation due to finances. Please contact the office directly if you need assistance.
Parent Signature*

Clear
Parent Name (printed*
Date*

MonthDayYear
Date

REGISTRATION FEE: *

VBS Registration per Child

$40.00 Quantity

Total

$0.00

Credit Card

Should be Empty:

2026 VBS Registration

Parent Information

Email Communication

Medical Information

Releases

Payment Information

Credit Card