VBS Registration Form

2026 VBS Registration Form

Fill out the form carefully for registration at Shekinah Tabernacle Vacation Bible School
Parent/Guardian Information

First NameMiddle NameLast Name
Email
example@example.com
Primary Phone Number
Format: (000) 000-0000.
Alternate Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Relationship to the Child/Student
Phone Number
Format: (000) 000-0000.
Student(s) Information
How Many Students are you Registering?
1. Student Name

First NameMiddle NameLast Name
Birth Date - Student 1

MonthDayYear
Child's Grade Level - Student 1
Gender - Student 1
Student 1 - Any Food Allergies or Medical Condition? If so list below:
2. Student Name

First NameMiddle NameLast Name
Birth Date - Student 2

MonthDayYear
Child's Grade Level - Student 2
Gender - Student 2
Student 2 - Any Food Allergies or Medical Condition? If so list below:
3. Student Name

First NameMiddle NameLast Name
Birth Date - Student 3

MonthDayYear
Child's Grade Level - Student 3
Gender - Student 3
Student 3 - Any Food Allergies or Medical Condition? If so list below:
4. Student Name

First NameMiddle NameLast Name
Birth Date - Student 4

MonthDayYear
Child's Grade Level - Student 4
Gender - Student 4
Student 4 - Any Food Allergies or Medical Condition? If so list below:
5. Student Name

First NameMiddle NameLast Name
Birth Date - Student 5

MonthDayYear
Child's Grade Level - Student 5
Gender - Student 5
Student 5 - Any Food Allergies or Medical Condition? If so list below:
6. Student Name

First NameMiddle NameLast Name
Birth Date - Student 6

MonthDayYear
Child's Grade Level - Student 6
Gender - Student 6
Student 6 - Any Food Allergies or Medical Condition? If so list below:
I understand photos may be taken and posted on social media. May we have your permission to photograph your child?
Should be Empty:

2026 VBS Registration Form

Student(s) Information