2025 Vacation Bible School Registration (CHILDREN)
June
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Child's Age
*
Child's Gender
Please Select
Male
Female
Last school grade completed
Please Select
Preschool
K
1st
2nd
3rd
4th
5th
Parent/Guardian name
*
Parent/Guardian phone#
Please enter a valid phone number.
Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Email
example@example.com (only used for VBS correspondence
Home church
List all allergies, medical conditions, or any special needs
In case of an emergency, contact name
Emergency contact phone#
Please enter a valid phone number.
Emergency contact relation to child
Bus Pickup
Please Select
YES
WacoBC has a bus ministry that will be running during VBS. Select YES if you need bus pickup for your child or children.
Submit
Should be Empty: