PGBC VBS Registration

Pleasant Grove Baptist Church VBS 2026 Registration

Illumination Station VBS 2026 is completely FREE and open to all children ages 3 years old through upcoming 8th graders. We believe every child deserves a chance to shine! 💡KICKOFF: Sunday, June 7 | 6:00–8:30 PM. VBS: Monday–Wednesday, June 9–11 | 5:30–8:30 PM (Supper served at 5:30!). FAMILY NIGHT FINALE: Thursday, June 12 | 6:00–8:30 PM. Pleasant Grove Baptist Church | Villa Rica, GA
How many children are you registering?
Does your child(ren) currently attend Sunday school or children’s church anywhere?
Where?
Where?
Child Information
First Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies).
Second Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does your child currently attend Sunday school or children’s church anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Third Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does your child currently attend Sunday school or children’s church anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Fourth Child
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).
Child Release Information
Parent/Legal Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Does your family attend Pleasant Grove Baptist Church?
Names of Persons to which the child (children) may be released to each night after VBS (Please provide at least two)

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
By clicking the box below, I hereby give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.
Supper will be served at 5:30. Will your child or children be joining us for the meal?
Would you like to join our church communication list to receive important updates via text and/or email? (Examples: weather closings, church announcements, youth and children’s events, and more!)
We use Flocknote to manage our church communications. Your information will never be shared and you may opt out at any time.
How did you hear about VBS at Pleasant Grove Baptist Church?
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Pleasant Grove Baptist Church VBS 2026 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information