Summer 2026 VBS

Summer 2026 VBS

Join us Saturday, June 6 from 9 AM - 4 PM for “Illumination Station" All kids from age 4 through 6th grade are welcome. At Illumination Station, kids will shine a light on who Jesus is! To register, please fill out the form below. For more info or have difficulties filling out the form, please send us an email (VBS@hsbchurch.com) or call (402) 331-7366
Parent/Guardian Information
*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Emergency Contact

Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
How many children plan to attend?*
Who may pick up your child/children?*
May we photograph your child/children?*

YesNo
Do you have a home church you attend?

YesNoYes, Harrison Street Church
Name of Church
How did you hear about our VBS program? (Select all that apply)*

I attend Harrison Street ChurchFriend/Family memberFacebookInstagramHarrison Street Church websiteMailerOther
Please Specify
First Child Information
Child 1 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Second Child Information
Child 2 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Third Child Information
Child 3 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Fourth Child Information
Child 4 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Fifth Child Information
Child 5 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Sixth Child Information
Child 6 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Seventh Child Information
Child 7 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Eighth Child Information
Child 8 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Ninth Child Information
Child 9 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Tenth Child Information
Child 10 Name*

FirstLast
Last Completed Grade (or age if pre-school)*
Medical Concerns (i.e. allergies)*
Thank you for registering with Harrison Street Church VBS! We look forward to seeing you on June 6th.
For more info or have difficulties filling out the form, please send us an email (VBS@hsbchurch.com) or call (402) 331-7366.
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Summer 2026 VBS

Parent/Guardian Information

Emergency Contact

First Child Information

Second Child Information

Third Child Information

Fourth Child Information

Fifth Child Information

Sixth Child Information

Seventh Child Information

Eighth Child Information

Ninth Child Information

Tenth Child Information