Child/Adult VBS Registration Form

Child/Adult VBS Registration Form

Register your child for Vacation Bible School. Please complete all sections to ensure a safe and fun experience.
Child's/ Adult's Full Name

First NameLast Name
Child's Age
Last Grade Completed
Parent or Guardian Full Name

First NameLast Name
Parent or Guardian Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent or Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical, Special Needs, or Other Information (including any food allergies)
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Designated Pick Up Person(s)
Do you attend a church?
Would you like more information about our church or for church staff to contact you?
Do you give permission for your child to be photographed and for images to be used in promotional materials?
Should be Empty: