2026 Vacation Bible School Registration

Emergency Contact Name:*

First NameLast Name
Emergency Contact Phone:*
Format: (000) 000-0000.
Relationship to Child*
YesNo
YesNo
Allergies (if yes list below):
By themselfPick up by an adult
If someone is picking them up enter their name here

First NameLast Name
Phone Number of Person Picking up Child
Please enter a valid phone number.Format: (000) 000-0000.
Additional Information
YesNo

We are excited to have your child here at VBS!

We believe that every child has God-given strengths and abilities. We would love to get to know your child better in order to encourage these strengths and abilities as well as to support them in the areas where they may need additional help. Please fill out the form below so we can get to know your child better
My child has the following educational label or medical diagnosis:
Additional information concerning my child’s allergies or food sensitivities:
What information would you like us to share with other children at VBS that will help them to better know, accept and understand your child?
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VBX Registration Form