2025 Unified Church VBS
Community Baptist, Pilgrim Baptist, Providence Baptist and Union Baptist: All Churches are Welcome!
2025 VBS at Unified Church Online Children's VBS Registration
Tentative Date June 23-26th 5:00pm Food Class 6-8:00pm Children and Adults (One Student per Registration Form Please) Church Address: 1331 Gay Street Fort Wayne IN 46803 Phone: 260/424-5416
Name
Mr.
Mrs.
Ms.
Miss
Rev.
Min.
Dr.
Prefix
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is this an adult registration only?
Please Select
Yes
No
Are you a Christian?
Please Select
Yes
No
Seeking/Would like to learn more
Other
Gender
Please Select
Male
Female
N/A
Minor Child
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Is Child a Christian?
Please Select
Yes
No
Child's Date of Birth
-
Month
-
Day
Year
Date
Upcoming School Grade
blanks
*
Home Church?
*
Please Select
Pilgrim Baptist
Union Baptist
Community Baptist
Providence Baptist Church
St. John MB Church
Other
No Affiliation
Parent Email
*
example@example.com
Parent's Name (If Registering a Minor)
Mr.
Mrs.
Ms.
Dr.
Rev.
Prefix
First Name
Last Name
Parent/Guardian Cell Phone
*
Submit
Should be Empty: