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.
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*

YESNO
May we have permission to use your child's photograph for the purpose of promotion?*

YESNO
Today's Date

MonthDayYear
Date
Parent/Guardian Signature*

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

VBS 2025 REGISTRATION FORM