VBS Registration

To register your child for VBS, please fill out the form below in its entirety. When you are done, hit the SUBMIT button and your child is all registered for VBS! If you have any questions, please call the church at (304) 387-2887.

Child's Name

First Name

Last Name

Grade in Fall

Home Church

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Email Address

Emergency Contact Name

First Name

Last Name

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Allergies?

If yes, please list below.

Transportation

If yes is selected below, I give permission for my child to be transported by First Christian Church of Chester. I understand that transportation may be in the Church van, a bus owned by Foxcrest, personal vehicles, or any other vehicles deemed safe by First Christian Church leadership. If NO is selected, I will provide transportation for my child.

Signature

Please type your name and hit SUBMIT below.

AVALANCHE RANCH VBS

First Christian Church - Chester, WV