IPC VBS Registration 2025 (New)

1
Parent/Guardian Name* This field is required.
2
Parent/Guardian Email* This field is required.
example@example.com
Email Verified
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Please check your mailbox and paste the code below to complete verification
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3
Parent/Guardian Phone Number* This field is required.
Please enter a valid phone number.
4
Parent/Guardian Name Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Your Family's Church* This field is required.
6
Child #1 - Name* This field is required.
7
Child #1 - Gender* This field is required.
Male
Female
8
Child #1 - Birthdate* This field is required.
Date
Month
Day
Year
9
Child #1 - Grade in Fall 2025* This field is required.
Please Select
Please Select
1
2
3
4
5
6
10
Child #1 - Is there a special friend your child would like to be with?* This field is required.
11
Child #1- Special Needs / Allergies?* This field is required.
12
Child #1 - T-Shirt Size (Youth)* This field is required.
Please Select
Please Select
XS
S
M
L
XL
XXL
13
Do you have another child to register?* This field is required.
YESNO
14
Child #2 - Name* This field is required.
15
Child #2 - Gender* This field is required.
Male
Female
16
Child #2 - Birthdate* This field is required.
Date
Month
Day
Year
17
Child #2 - Grade in Fall 2025* This field is required.
Please Select
Please Select
1
2
3
4
5
6
18
Child #2 - Is there a special friend your child would like to be with?* This field is required.
19
Child #2- Special Needs / Allergies?* This field is required.
20
Child #2 - T-Shirt Size (Youth)* This field is required.
Please Select
Please Select
XS
S
M
L
XL
XXL
21
Do you have another child to register?* This field is required.
YESNO
22
Child #3 - Name* This field is required.
23
Child #3 - Gender* This field is required.
Male
Female
24
Child #3 - Birthdate* This field is required.
Date
Month
Day
Year
25
Child #3 - Grade in Fall 2025* This field is required.
Please Select
Please Select
1
2
3
4
5
6
26
Child #3 - Is there a special friend your child would like to be with?* This field is required.
27
Child #3 - Special Needs / Allergies?* This field is required.
28
Child #3 - T-Shirt Size (Youth)* This field is required.
Please Select
Please Select
XS
S
M
L
XL
XXL
29
Do you have another child to register?* This field is required.
YESNO
30
Child #4 - Name* This field is required.
31
Child #4 - Gender* This field is required.
Male
Female
32
Child #4 - Birthdate* This field is required.
Date
Month
Day
Year
33
Child #4 - Grade in Fall 2025* This field is required.
Please Select
Please Select
1
2
3
4
5
6
34
Child #4 - Is there a special friend your child would like to be with?* This field is required.
35
Child #4 - Special Needs / Allergies?* This field is required.
36
Child #4 - T-Shirt Size (Youth)* This field is required.
Please Select
Please Select
XS
S
M
L
XL
XXL
37
Do you have another child to register?* This field is required.
YESNO
38
Child #5 - Name* This field is required.
39
Child #5 - Gender* This field is required.
Male
Female
40
Child #5 - Birthdate* This field is required.
Date
Month
Day
Year
41
Child #5 - Grade in Fall 2025* This field is required.
Please Select
Please Select
1
2
3
4
5
6
42
Child #5 - Is there a special friend your child would like to be with?* This field is required.
43
Child #5 - Special Needs / Allergies?* This field is required.
44
Child #5 - T-Shirt Size (Youth)* This field is required.
Please Select
Please Select
XS
S
M
L
XL
XXL
45
Name(s)* This field is required.Please list everyone who is authorized to pick up your child(ren).
46
Relationship to Child(ren)* This field is required.
47
Phone Number* This field is required.Enter the phone number we should contact if there is an issue at pickup.
Please enter a valid phone number.
48
I GIVE PERMISSION FOR ANY DIGITAL IMAGE/PHOTOGRAPH/VIDEO OF MY CHILD TO BE USED IN ANY IMMANUEL PRESBYTERIAN CHURCH (IPC) PRINT OR ELECTRONIC MEDIA. I UNDERSTAND THAT WEBPAGES, LIKE NEWSPAPERS, ARE AVAILABLE TO THE PUBLIC. I REALIZE THAT IT IS IMPOSSIBLE FOR IPC TO CONTROL ALL ACCESS TO ITS WEBSITE, AND I WILL NOT HOLD IPC LIABLE OR RESPONSIBLE FOR UNAUTHORIZED ACCESS OR USE OF MY CHILD’S IMAGE. I UNDERSTAND THAT IPC WILL NEVER ATTACH MY CHILD’S NAME OR PERSONAL INFORMATION WITH A PHOTO IN ANY PRINT OR ELECTRONIC MEDIA. * This field is required.
YESNO
49
After you complete your registration, you will be directed to complete a medical waiver. Please complete your waiver prior to VBS. Thank you!
50
Would you like to apply for a scholarship?
YESNO
51
Registration Fee* This field is required.
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
VBS - 1 ChildPrice includes registration, t-shirt, and processing fees for 1 child.
$22.00Edit
Back
1
1
Quantity
VBS - 2 ChildrenPrice includes registration, t-shirt, and processing fees for 2 children.
$44.00Edit
Back
1
1
Quantity
VBS - FamilyPrice includes registration, t-shirt, and processing fees for 3 or more children in the same family.
$52.00Edit
Back
1
1
Quantity
Total cost $0.00
52
Payment Methods
Choose from one of the PayPal options to make your payment.
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