Register Your Child

We are so excited for you to dive deep with us on this fun adventure! At SCUBA VBS, we will expereince a fin-tastic time with all the faith-building fun! Invite your friends to join you on July 29th - Aug. 1st at 9:00am - 11:30am!

We found some errors when you submitted your information. Please see below and fill in the information needed.

Parent Personal Information

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

Country:

State:

Zip:

Email:

Re-Enter Email:

Home Phone Number: (xxx-xxx-xxxx)

Cell Phone Number: (xxx-xxx-xxxx)

Other Phone Number: (xxx-xxx-xxxx)

Emergency Contact

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Phone 1: (xxx-xxx-xxxx)

Emergency Phone 2: (xxx-xxx-xxxx)

Alternate Pickup First Name:

Alternate Pickup Last Name:

Alternate Pickup Phone: (xxx-xxx-xxxx)

Other Information

Home Church (If Applicable):

SPECIAL NEEDS: Could your child benefit from us knowing anything that could require special accommodations or blessed buddy (1 on1) supports? Arianna Chapin or Morgan Stertz will be reaching out to you, if you find that your child could benefit. :

Would you prefer a digital download of the music or a CD? :