VBS Registration Form

First Name

Last Name

Date of birth

Grade Level

Please use the grade your child attended during the 2025-2026 school year.

Address

Street Address *

City *

State *

Country *

Postal Code *

Parent/Legal Guardian Name *

Parent/Legal Guardian Phone *

Parent/Legal Guardian Email *

Parent/Legal Guardian Name

Parent/Legal Guardian phone

Parent/Legal Guardian Email

Emergency Contact *

Name
Phone
Email

Pick-up (Anyone allowed to pick your child up from VBS other than parent)

Name 1
Name 2
Name 3

List Relevant Allergies/Medical Conditions

By checking this box, I consent to receive non-marketing text messages from Dover Shores Church about VBS. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

I hereby grant Dover Shores Church permission to take photographs, video recordings, or digital media of my child during Vacation Bible School. I understand these materials may be used in promotional brochures, the official church website, and social media platforms. *

YES - I give permission for my child’s image/ video to be used.

NO = I do not give permission for my child’s image/ video to be used.

Want to know more about us?

Our church is for you and your family. We'd love to answer any questions you might have.

Learn More About Dover Shores

Dover Shores Church

551 Gaston Foster Rd
Orlando, FL 32807

Phone: 689-305-3191

Contact