Register for VBS

Family Information

Address

Primary Phone

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Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Photo/Video Release Yes, I consent to CBC Midlo using photos and/or videos of my child No, I DO NOT consent to CBC Midlo using photos and/or videos of my child I hereby grant permission for Calvary Baptist Church in Midlothian, Virginia, to record sounds, images, or videos of my child while attending THIS VBS PROGRAM (July 27-July 31, 2026). I also give permission for Calvary Baptist Church in Midlothian, Virginia, at its sole discretion, to use these sounds, images, or videos for internal viewing and promotional content owned by Calvary Baptist Church in Midlothian, Virginia in relation to THIS VBS PROGRAM (July 27-July 31, 2026).

Custody Instructions

Details

Photos Allowed

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