VBS Registration Form

Current Family Information
Allergies/ Concerns
Other Information
Payment
Volunteer
Complete

Child's First Name

Child's Last Name

Child's Birth Date

Child's Address

e.g. V2A 6W3

Email address

Usually this will be a parent/guardian's email, but if the child uses email, you may enter it here.

Parent/Guardian Name(s)

Main Phone

Emergency Contact Name

Emerg. Contact Phone

Please note that all information we collect and store in this form is used only by Concordia Lutheran Church for purposes of our children's ministry. We will only use it to contact you about this 2025 VBS and other children's ministry events at Concordia. We will never share any of your info with another party without your explicit consent.