Perseverance Christian Church

VBS Registration 2026

Below is the information we need on the child who will be attending VBS at PCC. Please submit one registration form per child.

First Name

Last Name

Child's Age

Birthdate

Grade

Allergies

Does the student have any dietary restrictions?

Any additional information you need to share?

Please add Parent information / Emergency Contact info

First Name

Last Name

Phone Number

First Name

Last Name

Phone Number