VBS Registration 2023

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

EMERGENCY contact name & phone number for VBS week: REQUIRED Please fill out this field. Please enter valid data.

St. Andrew's Parishioners? REQUIRED Please fill out this field.

If you are not registered at St. Andrew's but would like to be, please visit our quick and easy online registration HERE.

Payment Options:

Pay online using "Online Giving". Please note child's name in Special Intentions box.
Submit check with correct amount to St. Andrew's Church, 631 N. Jefferson St., Roanoke VA 24016, Attn: VBS. Please note child's name in Memo section.

After you click "SUBMIT", you should see a confirmation screen. If you do not, please contact Kathy Boyer at kboyer@standrewsva.org.

Yes! I would love to help with VBS!
REGISTER as a volunteer now!

Number of Children from your family attending VBS ($25 per student if paid before 4/30/23. $40 per student if paid after 4/30/23) REQUIRED Please fill out this field.
Information for each child: 1
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 2
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 3
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 4
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 5
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 6
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 7
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.
Information for each child: 8
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Grade (fall of 2023) REQUIRED PK K 1 2 3 4 5 Please fill out this field.
- Indicate t-shirt size: REQUIRED Youth XS (4) Youth S (6-8) Youth M (10-12) Youth L (14-16) Adult S Please fill out this field.
- Medical Concerns that our staff needs to be aware of (Allergies, Medications, etc.) REQUIRED Please fill out this field.
- I give permission for photographs of my child(ren) to be used on St. Andrew’s Church website and on St. Andrew’s Church Social Hall bulletin boards. REQUIRED Please fill out this field.