VBS Registration Form

VBS Registration

June 9 - 13th | 6pm-8:30pm | Ages 4-12
Parent/Guardian Information
Parent/Guardian Name*
First & Last
Phone Number*
Email*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list anyone who is authorized to pickup your child(ren) from VBS each day*
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number*
Alt. Phone Number
Child Information
How many children are you registering?*
VBS is for ages 4-12 years
Child 1
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 2
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 3
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 4
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 5
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 6
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 7
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Child 8
Child's Name*
First & Last
Shirt Size*
After June 2nd, shirts are not guaranteed
Gender*

MaleFemale
Birth Date*
mm/dd/yyyy
Grade - Entering for 2025-2026 School Year*
Allergies
Medical Concerns
Any additional comments:
Photo Permission*

I give permission for my child(ren)’s photo to be taken during VBS and used for church promotional materials, including social media, church websites, and printed materials.I do not give permission for my child’s photo to be used for promotional purposes.
Should be Empty:

VBS Registration

Parent/Guardian Information

Child Information

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Child 7

Child 8