Vacation Bible School (VBS) Child Registration

Please fill out this form and click submit.
CRBC VBS will be from June 16th-20th 2025 from 6:00-8:30 pm. We are located at 6811 Beulah Street, Alexandria, VA 22310

To register, please ensure you fill out this form in its entirety and click submit.

This years theme takes us to the Wild West and we are so excited! All kids entering grades Kindergarten - 7th grade in Fall 2025 are welcome to join us this summer.

We cannot wait to see you!
Students Information

 
 
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Childs Photo

For security purposes, please upload a current head-shot of your child in order to have a student profile and security tag generated.
Parents Information

 
 
 
Emergency Backup / Guardian (2)

 
 
 
Students Medical Information

List any allergies, medical needs, etc. If none, please type N/A.
 
 
 
 
Authorized Pick-Up Persons

Please include the first and last name of any persons who are authorized to pick up your child from VBS.

NOTE: The authorized pick-up person must must have your childs security tag at pick up time which is generated at check in.

We cannot release a child to any person who does not have the security tag. Please understand that this is a safety percaution.


 
 
 
 
Closing Data

 
 

Description

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