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Registration Form

Fill out the form below to register your child for our VBS program

Child's First Name

Child's Last Name

Grade for 2025-26 School Year

Birthday * required

Allergies / Medical Concerns

Parent / Guardian Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Email Address

Name of person authorized to pick up your child?

Name of Emergency Contact

Emergency Contact Phone Number:

Home Church

How did you hear about our VBS program? * Required

I attend ODBC

Church Sign

Church Website

Email/Letter

Facebook

Flyer

Friend / Family

Any additional information we need to know?

Thanks for submitting!

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