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We're excited to have your child (or children)

join us for VBS this year!

If you plan on having more than one child attend VBS please fill one form for each one of the children you plan on having attend. You may submit this form multiple times.

First child $55/child, additional siblings $50 each.

After you submit this form, your child(ren) will be registered for VBS.
Use the link down below to make your payment online or you can bring payment to Church Of The Highlands in order to complete your registration.

Welcome to Highlands VBS!

Basic Information
Child's Name *
Child's Name
Name Of Parent Or Guardian *
Name Of Parent Or Guardian
Name Of Second Parent Or Guardian
Name Of Second Parent Or Guardian
Address *
Address
Mailing Address (if different)
Mailing Address (if different)
Contact Number *
Contact Number
Second Contact Number
Second Contact Number
Child's Date Of Birth *
Child's Date Of Birth
Medical & Emergency Information
If none, please enter "none" or "n/a".
If none, please enter "none" or "n/a".
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Number *
Emergency Contact Number
Emergency Contact #2 Name *
Emergency Contact #2 Name
Emergency Contact #2 Number *
Emergency Contact #2 Number
Does your child attend Sunday school? *
May we photograph your child? *
If yes, may we use those photographs for future VBS promotions? *
I'm interested in volunteering for VBS, please contact me!! *

** IF YOU ARE PAYING FOR MORE THAN THREE CHILDREN, Just add $55 (FIRST CHILD) + $50 (FOR EACH ADDITIONAL CHILD)
also, make sure you click on give one time.**