Trinity 2026 VBS Registration Form

VBS is available to children 3 to 12 years of age

Theme: Jesus is our True North

Event Timing: June 8th, 9th, and 10th, 2026 (3 days) from 6:00 PM to 8:30 PM

Event Address: 2450 S Lincoln St, Siloam Springs, AR 72761

Contact us at: (479) 220-2396

Event Activities: Food, Fun, Games, Exciting Lessons, Arts and Crafts, and Making Friends While Getting to Know God

NOTE: In order to properly prepare for you child's attendance, registration through the form is encouraged. Deadline for registration is Saturday, June 1st.
How many children are you registering?
Child Information
First Child
1st Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
What days, if any, will your child require bus transportation to and from the event?
Second Child
2nd Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Child Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
What days, if any, will your child require bus transportation to and from the event?
Third Child
3rd Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
What days, if any, will your child require bus transportation to and from the event?
Fourth Child
4th Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
What days, if any, will your child require bus transportation to and from the event?
Child Release Information
Parent/Legal Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Names of Persons to which the child (children) may be released to each night after VBS (Please provide at least one)

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Are there any persons to which the child (children) may NOT be released to?
Who may you child (children) NOT be released to?
Emergency Contact 1 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 1 Phone Number

Area CodePhone Number
Emergency Contact 2 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 2 Phone Number

Area CodePhone Number
Waiver For Participation
By clicking the box below, I hereby give permission for my child / children to attend Trinity Pentecostal Church Vacation Bible School. In doing so, I do not hold Trinity or its representatives responsible or accountable for any accidents which may occur from regular activity during the duration of my child's visit to or from Trinity.
Media Release
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child / children appear in to be used by the church in printed and/or electronic media, including the church's website.
Should be Empty:

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Waiver For Participation

Media Release