VBS Registration Form 2026
The The India Pentecostal Church of God Eastern Region PYPA and the India Christian Assembly of New Jersey joyfully invite you and your family to join us for this year’s Vacation Bible School (VBS).Our 2026 theme, “RainForest Falls – Exploring the Nature of God,” promises an exciting and enriching experience where children will discover more about God’s love and character in a fun and engaging way. Through biblical lessons, vibrant worship, creative activities, and interactive sessions, we hope to create a meaningful and unforgettable time that strengthens each child’s faith journey. 📅 Dates: July 9 (Thursday) – July 11 (Saturday)⏰ Time: 9:00 AM – 4:00 PM📍 Location: 315 State St, Hackensack, NJ Ages: 4 to 14 years. We look forward to welcoming your children for three wonderful days of learning, fellowship, and spiritual growth.For any assistance or questions, please feel free to contact us at jointsecretary@pypaonline.org.
Parent Name
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Child #1 Information
Child #1 Name
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MALE
FEMALE
T Shirt Size
*
Please Select
2-4 (Kids Size)
6-8 (Kids Size)
10-12 (Kids Size)
14-16 (Kids Size)
Small (Youth)
Medium (Youth)
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X-Large (Youth)
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Large (Adult)
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XX-Large (Adult)
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Grade in September 2026
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Pre-K
Kintergarden
1st
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Allergies
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Please enter any allergies your child has. If none, please enter NONE
0/500
Please let us know if your child has any special needs so we can better serve your child
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If no special needs, please enter NONE
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Will there be siblings attending the VBS?
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Child #2 Information
Child #2 Name
First Name
Last Name
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1931
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
MALE
FEMALE
T Shirt Size
Please Select
2-4 (Kids Size)
6-8 (Kids Size)
10-12 (Kids Size)
14-16 (Kids Size)
Small (Youth)
Medium (Youth)
Large (Youth)
X-Large (Youth)
Small (Adult)
Medium (Adult)
Large (Adult)
X-Large (Adult)
XX-Large (Adult)
Select T Shirt Size
Grade in September 2026
Please Select
Pre-K
Kintergarden
1st
2nd
3rd
4th
5th
6th
Allergies
Please enter any allergies your child has. If none, please enter NONE
0/500
Please let us know if your child has any special needs so we can better serve your child
If no special needs, please enter NONE
0/500
Do you have another sibling that you would like to register for
Yes
No
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Child #3 Information
Child #3 Name
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
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11
12
13
14
15
16
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2003
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2001
2000
1999
1998
1997
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1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
MALE
FEMALE
T Shirt Size
Please Select
2-4 (Kids Size)
6-8 (Kids Size)
10-12 (Kids Size)
14-16 (Kids Size)
Small (Youth)
Medium (Youth)
Large (Youth)
X-Large (Youth)
Small (Adult)
Medium (Adult)
Large (Adult)
X-Large (Adult)
XX-Large (Adult)
Select T Shirt Size
Grade in September 2026
Please Select
Pre-K
Kintergarden
1st
2nd
3rd
4th
5th
6th
Allergies
Please enter any allergies your child has. If none, please enter NONE
0/500
Please let us know if your child has any special needs so we can better serve your child
If no special needs, please enter NONE
0/500
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Next
Parental Waiver and Release of Liability
Name of Parent or Legal Guardian
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First Name
Last Name
Signature
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Date
*
-
Month
-
Day
Year
Date
Note
Please note that once you successfully complete the registration process, you will be redirected to our Paypal donation page. While donation is not mandatory, it will be greatly appreciated and help us cover the expensDonaes of organizing this amazing event. We believe that VBS is a crucial tool for nurturing young minds and fostering their spiritual development, and with your help, we can continue to do just that.
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