VBS Registration Form

All items are required.









Age Information



Medical Information


Emergency Contacts (at least one name and phone number required):





Dismissal Information


Other Information



Yes
No


Yes
No

Car Rider Registration

(Car Rider # and Class to be completed by Registrar)

Car Rider # __

Who is allowed to pick up your child/children?



Children to be picked up:



Class ___



Class ___



Class ___



Class ___



Class ___



Class ___

Car Rider Pick Up Procedures for Parents

  1. The car rider tag needs to be displayed on the passenger side of the windshield.
  2. If there is a change in who will pick up a child/children, it is the responsibility of the parent/guardian to give the authorized person the “Car Rider” tag. If a tag is not displayed, the driver will be asked to pull over to a “hold” line to have the pick up authorized.
  3. You may call 936-661-9067 before 11:30 a.m. if there is a change in pick up or if a child/children will be picked up early.
  4. Please enter the church parking lot from Fisher Street.
  5. For the safety of all children, please remain in your car and follow the instructions of the parking lot attendants.
  6. NO CHILD/CHILDREN WILL BE RELEASED WITHOUT THE “CAR RIDER” TAG, WRIST BAND, OR VERIFICATION OF A CHANGE.

I verify that I have read and agree to the Car Rider Procedures.