Registration Form
Please fill out ALL spaces and click "Submit".
NOTE: One form per child. If you have more than one child to register, there will be a link to return to this form after submitting your first child's information.
Child's Name
Parent/Guardian Name
Address/City
Home Phone
Work Phone
Cell Phone
Email Address
Birth date (include year)
3 year old MUST be potty trained.
Last Grade completed (Preschool/School)
Medical Information
(Medical or other information we need to know.
Please include any food alergies.)
Emergency Contact
(1st Name & Number)
Emergency Contact
(2nd Name & Number)
Dismissal Information
(Who may pick up your child at the end of each VBS day?)
Do you attend Sunday School or Life Groups? If so, where?
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child?
May we have permission to photograph your child in church publications for the purpose of promotion?
Click Submit button once.
Form processing may take a moment depending on your connection.
NOTE: Saddle Ridge Ranch is June 21st-25th
from 9am - 12:30pm.