2026 - VBS Child/Student Registration Form

VBS 2026: Child/Student Registration Form
Step through the mist into a wild, creature-filled Amazon adventure at Rainforest Falls! Surrounded by towering trees, thundering waterfalls, and colorful creatures beneath a canopy of chattering birds and howling monkeys, kids plunge into a lifelong journey of discovering who God is. Along the way, they’ll learn that Jesus is our Creator, All-knowing, our Refuge, Love, and Forever. As they explore the wonders of the rainforest, kids will be rooted in a relationship with God—the One who created them and is a safe place in every storm.

Who? All kids 4 year old's Completed 6th Grade
Date: June 8-12, 2026
Time: 8:30 am - NOON
My family regularly attends:
1.Child/ Student
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Age
Grade Completed in 2025- 2026
Volunteer's Name

First NameLast Name
Does your preschooler have a friend they want to be in a group with?
Name of friend(s)
Allergies
Please note if your child carries an epi pen
Medical Conditions
If your child has allergies that require them to carry medication or EpiPen, please list them here
T-Shirt Size
Family Preferred Contact Information
Adult 1

Other
Name

First NameLast Name
Mobile Number
Format: 000-000-0000.
Can we add you to the Kids Ministry Text reminders and updates list?
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 2

Other
Name

First NameLast Name
Mobile Number
Format: 000-000-0000.
Can we add you to the Kids Ministry Text reminders and updates list?
Email
example@example.com
Address (Only if different than address listed above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact if parents cannot be reached
Name

First NameLast Name
Phone Number
Format: 000-000-0000.
Relationship
Additional Children/Students Participating in SHBC Activities

Please complete this page if you have any additional children that will participate in Spring Hills Baptist Church activities Kids Ministries.

Permissions
These additional individuals are authorized to pick up this child(ren) from SHBC ministries or events.
Name
Relationship
Name
Relationship
Name
Relationship
Are there any persons not allowed to have contact with, or pick up, your child(ren)? *** If yes, please contact Spring Hills Safety & Security Director, Marvin Rutter, to provide necessary information 740-403-1819
Date

MonthDayYear
Date
Preferred Physician
Physician Phone Number
Format: 000-000-0000.
OR in the event the appropriate specified practitioner is not available, by another licenced physician or dentists:

2. The transfer of minor to preferred hospital or any hospital reasonably accessible.
Preferred Hospital
3. This authorization does not cover major surgery unless the medical opinions of two other licensed physicans or dentists concurring in the necessity for such surgery are obtained in writing prior to the performance of such surgery.
I AGREE
Initial Here
Date

MonthDayYear
Date
Please Print

First NameLast Name
Signature
VBS T-Shirts

Please make sure to select the item and quantity if purchasing more than 1 t-shirt.

Vacation Bible School T-shirt

Please make sure you list the number of VBS t-shirts

$10.00 Quantity

I would like to Support VBS

$25.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

VBS 2026: Child/Student Registration Form

1.Child/ Student

Family Preferred Contact Information

Emergency Contact if parents cannot be reached

Additional Children/Students Participating in SHBC Activities

Permissions

Please make sure to select the item and quantity if purchasing more than 1 t-shirt. *

Please make sure to select the item and quantity if purchasing more than 1 t-shirt.