Berkley Community Church - 2025 Stellar VBS

Stellar VBS Registration

Please submit the form below to register your child(ren). We are looking forward to having them join us this year, please note spaces are limited.

Parent / Guardian First Name

Parent / Guardian Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Parent / Guardian Phone Number

Contact Email

Please enter an emergency contact that is not the parent / guardian entered above.

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Invited by or friends with someone attending VBS?

Name of Friend

Child's First Name

Child's Last Name

Grade (entering in Fall)

Allergies

Can your child's photo be used on BCC's social media?