Crosspointe VBS Registration Form

2026 VBS Registration

VBS will be held June 15-18 (Monday to Thursday) at 6:30pm to 8:45pm each night. We promote classes after VBS so please indicate last year's grade level.
1. Child First and Last Name*

First Last NameBirthdate MM/DD/YYYY
1. Grade coming out of this past year*
Grade last year
2. Child First/Last Name

First Last NameBirthdate MM/DD/YYYY
2. Grade coming out of this past year
Grade last year
3. Child First/Last Name

First Last NameBirthdate MM/DD/YYYY
3. Grade coming out of this past year
Grade last year
4. Child First/Last Name

First Last NameBirthdate MM/DD/YYYY
4. Grade coming out of this past year
Grade last year
1. Guardian Name*

First NameLast NameRelationship
1. Phone Number*

Area CodePhone Number
1. Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
2. Guardian Name

First NameLast NameRelationship
2. Phone Number

Area CodePhone Number
2. Email
example@example.com
Indicate any allergies for any child.
allergies
VBS t-shirts are $11.50 each. If wanted, indicate sizes and how many. Payment before receiving. Child Sm, Child Med, Child Lg, Adult - Sm, Med, Lg, XL, (2X-$13.75) (3X-$14.75) (4X-$15.75)
T-shirt sizes and quantity. Actual design may vary.
How did you hear about Crosspointe's VBS?

Church bulletin or announcementEaster Egg HuntVBS SignFacebookFriend or Family memberChurch websiteOther
Signature
Should be Empty:

2026 VBS Registration