2026 Vacation Bible School Sign-Up
We will be hosting this years VBS on June 1st through June 5th from 8:30am until 11:30am! Registration costs $20 per child and may pay online with this form. There are registration scholarships available.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number that can be used if we need to call you during VBS hours.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your home church?
If you don't have a home church, leave this blank.
Would you like to add another Parent/Guardian?
*
Yes
No
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number that can be used if we need to call you during VBS hours.
Format: (000) 000-0000.
How Many Children Are You Registering?
*
Please Select
1
2
3
4
1st Child's Information
Name
*
First Name
Last Name
Gender
*
Boy
Girl
Age
*
Date Of Birth
*
-
Month
-
Day
Year
Date
Last School Grade Completed
*
Please Select
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any allergies or medical conditions we should be aware of?
*
If your child have a friend they would like to be with during VBS please put that child's name here?
First Name
Last Name
2nd Child's Information
Name
*
First Name
Last Name
Gender
*
Boy
Girl
Age
*
Date Of Birth
*
-
Month
-
Day
Year
Date
Last School Grade Completed
*
Please Select
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any allergies or medical conditions we should be aware of?
*
If your child have a friend they would like to be with during VBS please put that child's name here?
First Name
Last Name
3rd Child's Information
Name
*
First Name
Last Name
Gender
*
Boy
Girl
Age
*
Date Of Birth
*
-
Month
-
Day
Year
Date
Last School Grade Completed
*
Please Select
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any allergies or medical conditions we should be aware of?
*
If your child have a friend they would like to be with during VBS please put that child's name here?
First Name
Last Name
4th Child's Information
Name
*
First Name
Last Name
Gender
*
Boy
Girl
Age
*
Date Of Birth
*
-
Month
-
Day
Year
Date
Last School Grade Completed
*
Please Select
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any allergies or medical conditions we should be aware of?
*
If your child have a friend they would like to be with during VBS please put that child's name here?
First Name
Last Name
Does your child/children need a scholarship for their registration fees?
*
Yes
No
Payment For Registration Fees
*
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Registration Fees
Please add 1 for each child that you are signing up.
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
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