VBS Payments

THIS PAGE IS ONLY TO BE SUBMITTED AFTER YOU REGISTER HERE.

THIS IS NOT A REGISTRATION PAGE.

This form is to submit PAYMENT ONLY. You must register using the vbspro website. Links are on: www.ecrc.us/vbs

This form is for PAYMENT ONLY. You must register first before filling out this form.
Have you already registered for VBS on the vbspro website?*
You must register for the event before you can submit a payment. Please click here or visit https://ecrc.us/vbs/ for more information.
Parent Name*
First Last
Phone*
Email*
Select week*
Number of kids*
The fee is $65/child. It will automatically calculate your total based on the number of children you select.
Children Names*
If you are registering more than one children please add a comma between each name.
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Address*
Street Address Address Line 2 City State ZIP Code
Comments