PRBC 2025 VBS Registration Form

Made to Magnify God!

Magnified! VBS will encourage kids to look closely at the details of God’s amazing world and magnify, or proclaim, the greatness of God. God made us, cares about us, loves us, forgives us, and is faithful to keep all His promises to us. We can praise God together! We were made to magnify God!
Parker Road Baptist Church, Vacation Bible School July 28 - August 1st, 2025. 8:45am - 12:15pm

PLEASE FILL OUT ALL FIELDS
Online Registration

Please note:

Seperate registration forms must be filled out for each child participating in Vacation Bible School.
Child's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Grade Just Completed and Age of Child*
Birth Date*

MonthDayYear
Sex*

MaleFemale
Attending with a daycare?*
Yes or No
Name of Daycare. Children attending VBS with a Daycare must have parents or guardians information.
Parent/Guardian Information
Mother's Name*

First NameLast Name
Father's Name*

First NameLast Name
Guardian's Name (Put mother's or father's name if no guardian)*

First NameLast Name
Mother's Phone Number*
Father's Phone Number*
Guardian's Phone Number*
Person's other than parents or guardians allowed to pick up the child. The parent or guardian's VBS card, or photo of it, is required in order to pick up the child.*
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*
Do you attend a church?
Church name:
Does the child have any allergies or special needs. If yes, please describe.*
May we have permission to photograph your child & post your child's picture on our social media? Yes or No? *
Should be Empty:

Parker Road Baptist Church, Vacation Bible School July 28 - August 1st, 2025. 8:45am - 12:15pm