Clone of VBS Registration Form 2025

Vacation Bible School Registration Form

ON THE CASE FOR FAITH VBS 2025
CHILD INFORMATION
Name

First NameLast Name
M.I.
Birth Date

MonthDayYear
Date
What is your child’s age?
Gender
Has your child previously attended VBS?
If yes, what year?
Home Church (if any)
Siblings Enrolled in VBS
PARENT/GUARDIAN INFORMATION
Primary Guardian

First NameLast Name
Relationship to child
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
EMERGENCY CONTACTS
Please list the first and last names and phone numbers off ALL adults who are allowed to pick up this child. The child will only be released to these people.
Alternate Guardian #1

First NameLast Name
Phone Number
Format: (000) 000-0000.
Alternate Guardian #2

First NameLast Name
Phone Number
Format: (000) 000-0000.
Alternate Guardian #3

First NameLast Name
Phone Number
Format: (000) 000-0000.
Medical Information
Please list all allergies -- or type "none" if there are none
Does your child carry an epi-pen? (please note: if yes, it is the responsibilty of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)
Please list all medical concerns and/or special needs or accommodations your child may need-- or type "none" if there are none
Additional Information
VBS photos/videos are taken for promotional purposes related to Fountains Victory Tabernacle Church and Vacation Bible School. These pictures may appear in various media outlets such as The News and our facebook page and webpage. Do you allow your child to be included in these photos/videos?
Signature
By submitting this form, I ackowledge I have read and understand the above information.
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Vacation Bible School Registration Form

Medical Information

Additional Information