Epworth 2025 VBS Registration Form (please submit one form for each child)Child's NameChild's genderChild's ageChild's date of birthChild's last school grade completedName of parent(s)AddressParent(s) cell number(s)Email AddressHome churchAllergies, medical conditions, or special needsEmergency contact nameEmergency contact relationship to childEmergency contact phone number12 + 15 = SubmitTrouble with this form? Download a PDF version here.