VBS Registration Form
Register your family for Vacation Bible School. Please complete all sections for each child attending.
Child Information
Please enter details for each child attending VBS.
Child 1 Information
Child 1 Full Name
*
First Name
Last Name
Child 1 Age
*
Child 1 Grade Entering (August 2026)
*
Please Select
[select one]
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 1 Gender
*
[select one]
M
F
Child 1 T-Shirt Size
*
Please Select
[select one]
4T
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child 1: Any medical conditions we should know about? Please describe.
*
Child 1: Any allergies we should know about? Please describe.
*
Child 1: Any special needs? Please describe.
*
Would you like to register a second child?
*
Please Select
Yes
No
Child 2 Name
*
First Name
Last Name
Child 2 Age
*
Child 2 Grade Entering (August 2026)
*
Please Select
[select one]
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 2 Gender
*
[select one]
M
F
Child 2 T-Shirt Size
*
Please Select
[select one]
4T
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child 2: Any medical conditions we should know about? Please describe.
*
Child 2: Any allergies we should know about? Please describe.
*
Child 2: Any special needs? Please describe.
*
Would you like to register a third child?
*
Please Select
Yes
No
Child 3 Name
*
First Name
Last Name
Child 3 Age
*
Child 3 Grade Entering (August 2026)
*
Please Select
[select one]
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 3 Gender
*
[select one]
M
F
Child 3 T-Shirt Size
*
Please Select
[select one]
4T
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child 3: Any medical conditions we should know about? Please describe.
*
Child 3: Any allergies we should know about? Please describe.
*
Child 3: Any special needs? Please describe.
*
Would you like to register a fourth child?
*
Please Select
Yes
No
Child 4 Name
*
First Name
Last Name
Child 4 Age
*
Child 4 Grade Entering (August 2026)
*
Please Select
[select one]
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 4 Gender
*
[select one]
M
F
Child 4 T-Shirt Size
*
Please Select
[select one]
4T
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child 4: Any medical conditions we should know about? Please describe.
*
Child 4: Any allergies we should know about? Please describe.
*
Child 4: Any special needs? Please describe.
*
Would you like to register a fifth child?
*
Please Select
Yes
No
Child 5 Name
*
First Name
Last Name
Child 5 Age
*
Child 5 Grade Entering (August 2026)
*
Please Select
[select one]
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 5 Gender
*
[select one]
M
F
Child 5 T-Shirt Size
*
Please Select
[select one]
4T
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child 5: Any medical conditions we should know about? Please describe.
*
Child 5: Any allergies we should know about? Please describe.
*
Child 5: Any special needs? Please describe.
*
Family Address
Please provide your family's address.
Street Address
*
City
*
State
*
Zip Code
*
Emergency Contact Information
Please provide emergency contact details including first name, last name, and phone number.
Emergency Contact 1
*
First Name
Last Name
Emergency Contact 1 - Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact 2
*
First Name
Last Name
Emergency Contact 2 - Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Acknowledgements
Please review and acknowledge the following.
I give permission for my child(ren) to be photographed during VBS and for photos to be used in church materials.
*
I acknowledge and agree
I acknowledge the church is not liable for injuries or accidents during VBS.
*
I acknowledge and agree
Would you like to be added to the church’s text messaging or email list?
*
Yes, text messages and email.
Yes, text messages only.
Yes, email only.
No thanks.
Phone Number for Church List
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address for Church List
*
example@example.com
Register
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