VBS Explorer Registration

Please complete the information below to register your camper and press the SUBMIT button.
Repeat the process for additional registrations.

Explorer's Information

Explorer's First Name

Explorer's Last Name

Explorer's Grade Completed (Before June 15, 2026)

Explorer's Gender

Boy

Girl

Explorer's T-Shirt Size

Allergies or Special Needs

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Emergency Contact Phone Number

Please let us know of any allergies your child has?

Anything else you would like to share?

Photo/Video Release

As part of our VBS program, photographs and videos may be taken to capture the fun and meaningful moments. These images may be used in promotional materials, including brochures, newsletters, website, and social media accounts of Grace Church of Perry.

Please Choose Photo/Video Use Permission

I Grant Permission

I Do Not Grant Permission

Signature

< Back

Next >

Submit

Explorer's Information

Parent/Guardian Information

Photo/Video Release

About

GATHERING Times

Follow Us