VBS 2025 Registration Form

VBS 2025 Registration Form

Tabernacle Baptist Church
One Form Per Child
Student Name*

First NameLast Name
Birth Date *

MonthDayYear
Date
Gender
Have you previously attended VBS?

YesNo
If yes, what year?
Home Church (if any)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
EMERGENCY CONTACTS
Please list the first and last names and phone numbers off ALL adults who are allowed to pick up this child. The child will only be released to these people.
Primary Guardian*

First NameLast Name
Relationship to child*
Phone Number*
Alternate Guardian #1*

First NameLast Name
Relationship to child*
Phone Number*
Alternate Guardian #2

First NameLast Name
Relationship to child
Phone Number
Medical Information
Please list all allergies -- or type "none" if there are none*
Does your child carry an epi-pen? (please note: if yes, it is the responsibilty of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)*

YesNo
Please list all medical concerns -- or type "none" if there are none*
Additional Information
VBS photos/videos are taken for promotional purposes related to Tabernacle Baptist Church and Vacation Bible School. These pictures appear in our recap slideshow (for church use only, never posted publicly). Do you allow your child to be included in these photos/videos?*

YesNo
By submitting this form, I ackowledge I have read and understand the above information.
Signature

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VBS 2025 Registration Form

One Form Per Child

Medical Information

Additional Information