VBS 2025 Registration Form

Sierra Vista Seventh-day Adventist Church

777 S Highway 92, Sierra Vista, AZ

(520) 458-2641

SCHEDULE

Programs: Monday - Friday, June 23 - 27 from 10:00 am - Noon.

FREE, NO CHARGE!

Please use the form below to register your child/children (ages 4-12) for VBS

Parent/Guardian of Children

Name

Address

Cell Phone

Email

Custodial arrangement if applicable (who may pick up children)

I give my permission for photos of my children to be taken during VBS

No Yes

In case of emergency, contact

Name

Phone

Relationship to children

I give permission to call 911 in case of emergency

No Yes

Child #1

Name

Child's nickname

Date of birth

Age

Allergies, food sensitivies, medical conditions, etc.

Child #2

Name

Child's Nickname

Date of birth

Age

Allergies, food sensitivies, medical conditions, etc.

Child #3

Name

Child's Nickname

Date of birth

Age

Allergies, food sensitivies, medical conditions, etc.

Child #4

Name

Child's Nickname

Date of birth

Age

Allergies, food sensitivies, medical conditions, etc.

Child #5

Name

Child's Nickname

Date of birth

Age

Allergies, food sensitivies, medical conditions, etc.

Child #6

Name

Child's Nickname

Date of birth

Age

Allergies, food sensitivies, medical conditions, etc.

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