Calvary Chapel Palm Harbor - VBS Registration

VBS 2024

The Great Jungle Journey

Pre-Registration Options

Click the button below to print the registration form. Fill it out and send it back by emailing us here! If you would like to pre-register online, scroll down and complete the form below. Be sure to click "submit" at the bottom!

VBS-Registration-2024.pdf

PLEASE NOTE: Legal Parent/Guardian signature is required on Registration release form before your child can participate in VBS.

Online Registration Form

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VBS Registration

Child's First & Last Name

Child's Age

Date of Birth (MM/DD/YYYY)

Child's Grade (as of Fall 2024)

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Legal Parent/Guardian Name

Phone Number

Email

Allergies

Emergency Contact Name

Emergency Contact Phone Number

Alternative Emergency Contact Phone Number

Adults Authorized for Pickup (Other than Parents)

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Submit