VBS 2025

Live it out! Discover how to Love like Jesus!

June 23 - 27 9am-12pm

VBS is for children entering Kindergarten in the fall through children finishing the 5th grade.

REGISTER BASED ON THE UPCOMING YEAR GRADE (2025-2026)

Parent/Guardian Name Parent/Guardian Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent/Guardian Cell Number Parent/Guardian Cell Number - ### - ### ####
Parent/Guardian Email
Alternant Contact Name Alternant Contact Name First Last
Relationship to child
Alternate Contact Number Alternate Contact Number - ### - ### ####
If relationship is parent, is this parent living in the same household as the address above?

If relationship is parent, is this parent living in the same household as the address above? Yes No
Student 1 Information

Please Complete all of the fields below
Student 1 Name
Student's Date of Birth Student's Date of Birth / MM / DD YYYY
Grade Entering in Fall 2025

Grade Entering in Fall 2025 Kindergarten 1st 2nd 3rd 4th 5th 6th
Allergies or Special Needs
Leave Blank if none
Student #2 Information

Please Complete all of the fields below for Student 2
Student 2 Name
Student 2 Date of Birth Student 2 Date of Birth / MM / DD YYYY
Grade Entering Fall 2025

Grade Entering Fall 2025 Kindergarten 1st 2nd 3rd 4th 5th 6th
Allergies or Special Needs
Leave Blank if none
Student 3 Information

Please Complete all of the fields below for student 3
Student 3 Name
Student 3 Date of Birth Student 3 Date of Birth / MM / DD YYYY
Grade Entering Fall 2025

Grade Entering Fall 2025 Kindergarten 1st 2nd 3rd 4th 5th 6th
Allergies or Special Needs
Leave Blank if none
Student 4 Information

Please Complete all of the fields below
Student 4 Name
Student 4 Date of Birth Student 4 Date of Birth / MM / DD YYYY
Grade Entering Fall 2025

Grade Entering Fall 2025 Kindergarten 1st 2nd 3rd 4th 5th 6th
Allergies or Special Needs
leave blank if none
I authorize the following adult(s) other than the contacts listed above to pick up my child(ren) from Snyder's VBS 2025:

Include Name, Cell Phone and Relationship to Child (parent, aunt, nanny, etc.)

VBS 2025

VBS 2025

Student 1 Information

Student #2 Information

Student 3 Information

Student 4 Information