VBS Youth Sign UpScroll Down to complete the VBS 2023 sign up processVBS Info Student's First Name Student's Last Name Student's Date of Birth Last Grade Student Completed Last Grade Student CompletedPre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th School Pleases List the Students Allergies and or Medical Concerns. Does the Student Have any Allergies or Medical Concerns? Does the Student Have any Allergies or Medical Concerns? Yes No Parent/Family/Guardian Name Parent/Family/Guardian Name Street Address City State ZIP Code Email Address Cell Phone Number Emergency Contact Name Emergency Contact Phone Number Emergency Contact Phone Number Emergency Contact Name Who May Pickup the Student From VBS? (Separate names with commas) Submit