Vacation Bible School 2025 Child Registration

Vacation Bible School Registration

Community Bible Church and Vida Dallas
*Para registrarte en Español, haz click en el botón en la parte superior de la página.
Information

We are excited to welcome your kids to Wonder Junction Vacation Bible School June 15-20, 2025! VBS is a free week of fun for kids ages 5 through 6th grade (going into 7th) and is located at 2301 Texas Dr. Irving, TX 75062. For more information, visit cbcirving.org/vbs.
Child Registration
Child 1 Name: *

First NameLast Name
Age:*
Grade just completed:*
Please list any special dietary or medical needs we should be aware of so we can ensure their care and safety:
Child 2 Name:

First NameLast Name
Age:
Grade just completed:
Please list any special dietary or medical needs we should be aware of so we can ensure their care and safety:
Child 3 Name:

First Name Last Name
Age:
Grade just completed:
Please list any special dietary or medical needs we should be aware of so we can ensure their care and safety:
Parent/Guardian Information
Parent/Guardian Name: *

First NameLast Name
Parent/Guardian Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Number:*
Please enter a valid phone number. / Por favor anote un número válido. Format: (000) 000-0000.
Parent/Guardian Email:*
example@example.com
Emergency Contact (other than parent/guardian above):*
First name-Last name/ Nombre-Apellido
Emergency Contact Number:*
Please enter a valid phone number./Por favor anote un número válido. Format: (000) 000-0000.
Please list the first and last names of all persons approved to pick up your child: *
How did you hear about our Vacation Bible School? *
Medical Release
I give my permission for all children listed above to be treated by authorized, licensed medical personnel as a result of an accident or medical emergency while involved in the activities of Community Bible Church.*

First Name/ Nombre Last Name/ Apellido
Waiver of Responsibility
I give my permission for all children listed above to attend and participate in all Vacation Bible School activities at Community Bible Church. I release and discharge Community Bible Church, its agents, employees, and all persons concerned therewith from any and all liability and claims of any type arising out of or in any way connected with the child's participation in the activities of Community Bible Church. I also understand and consent to photos being taken during the week that may appear on church social media accounts.*

First Name/Nombre Last Name/Apellido
Date:

MonthDayYear
Date/Fecha
Signature:*

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Special Invitation for Family Members
You are invited to join your children at our Family Night on Friday, June 20th, at 6:30 pm. Dinner will be provided, and the kids will share the songs they've learned!
For Nuevo Rayo Residents
Community Bible Church is on the same street as Nuevo Rayo. We invite you to drop off your children personally, or we have approved adult volunteers who will walk kids to and from the church each evening. If you would like your kids to be walked over, please provide your apartment number for pick-up. They will be picked up at 6pm and walked back at 9:15 pm.
YesNo
If yes, what is your apartment number for pick-up?
Should be Empty:

Vacation Bible School Registration

Information

Child Registration

Parent/Guardian Information

Medical Release

Waiver of Responsibility

Special Invitation for Family Members

For Nuevo Rayo Residents