Calvary Visalia

VBS Registration

*Required

Child First and Last Name

Do you attend Calvary?

Yes

No

If Yes - Jump to Guardian Name
If No - Please complete the following

Age

Last Completed Grade

Allergies

Child First and Last Name

Do you attend Calvary?

Yes

No

If Yes - Jump to Guardian Name
If No - Please complete the following

Age

Last Completed Grade

Allergies

Child First and Last Name

Do you attend Calvary?

Yes

No

If Yes - Jump to Guardian Name
If No - Please complete the following

Age

Last Completed Grade

Allergies

Child First and Last Name

Do you attend Calvary?

Yes

No

If Yes - Jump to Guardian Name
If No - Please complete the following

Age

Last Completed Grade

Allergies

Child First and Last Name

Do you attend Calvary?

Yes

No

If Yes - Jump to Guardian Name
If No - Please complete the following

Age

Last Completed Grade

Allergies

Child First and Last Name

Do you attend Calvary?

Yes

No

If Yes - Jump to Guardian Name
If No - Please complete the following

Age

Last Completed Grade

Allergies

Address

Apartment, suite, etc.

City and Zip

Guardian Name

Guardian Email

Guardian Phone

Relationship to Child

Authorized to Pickup:

Name

Phone Number

Relationship to Child

Authorized to Pickup:

Name

Phone Number

Relationship to Child

< Back

Next >

Submit

VBS Registration

Contact Info

Church Services

Connect with Calvary