2026 Vacation Bible School Registration
Fill out the form carefully for registration! If registering multiple children, please fill out a new form for each student.
Student Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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2009
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1928
1927
1926
1925
1924
1923
1922
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1920
Year
Student's Grade Level (rising grade level for 2026-2027 school year)
*
Please Select
Pre-K 4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
*
Parent Email
*
example@example.com
Parent Phone Number
*
Format: (000) 000-0000.
Emergency Contact #1 Name
*
Emergency Contact #1 Number
*
Format: (000) 000-0000.
Emergency Contact #2 Name
*
Emergency Contact #2 Number
*
Format: (000) 000-0000.
Child T Shirt Size (t-shirt only guaranteed if registered by June 1st)
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Does your student have any allergies? (Please include any reactions!)
ONLY IF your student has allergies please select one:
Please Select
Bring a snack from home
Will need an allergy free snack provided
List any special or medical conditions your student may have. Please explain.
*
Emergency Medical Consent: I authorize a representative of Kennesaw Church to transport and give consent for any and all emergency medical care for my child while he/she is in the custody of the church.
*
Please Select
Yes
No
Photo Consent: Kennesaw Church has my permission to photograph my child and use the unidentified photo in any church printed materials, including for publicity purposes.
*
Please Select
Yes
No
My Products
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VBS Registration
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: