Register for VBS

Family Information

Address

Primary Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

If you are a WCPCA Member, would you be interested in volunteering during VBS? ------ Yes! Not this year. If you click "yes", Rebecca Biddy will contact you with information about open volunteer positions. Thank you!

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

I have more students to register