REGISTRATION FORM

VBS 2025 REGISTRATION FORM
Use this form to register online for VBS at Christway Church in Godfrey.

Dates: June 16-20

Time: 6:15 - 9:00 PM

Ages 4 years - 6th grade

Family Night June 20th
Child's Full Name
Participant's Birth date

MonthDayYear
Date
Last Grade Completed in School in 2025
Please Choose "Pre-K" for kids 4 years old and up who have not completed Kindergarten.
Participant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address if different
Address for Parent/Guardian 2
Parent/Guardian Full Name
Parent/Guardian Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Please list any medical information (include food allergies, etc.) and any other special needs we need to know to help your child succeed.
Please put N/A if none
Emergency Contacts (other than those listed previously)
Please list names and cell phone numbers
Who may pick up your child at the end of each day?
Please list names and cell phone numbers
Does your child attend church regularly anywhere? If yes, where?
If your child is visiting our church who is she/he a guest of
May we have permission to photograph your child
May we have permission to use your child's photograph for the purpose of promotion?
Today's Date

MonthDayYear
Date
Parent/Guardian Signature

This form must be signed to be submitted
Should be Empty:

VBS 2025 REGISTRATION FORM