VBX Registration

VBX 2024 Registration

Please fill out one pre-registration form for each child. When you arrive at VBX each night, go to the Check-In table for a quick and smooth process.

* Indicates required field

Parent/Guardian Name *

First

Last

Email *

Emergency Contact Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Name *

Age *

Birthdate *

Year Entering Kindergarten
or Grade Entering Fall 2024 *

Allergies or Special Needs *

I give Grace E. C. Church permission to use photos or videos taken of my child on Social Media. *

Yes No

Submit Now