Clone of 2025 VBS Registration Form

VBS Child Registration

CFCBN VBS 2026 - July 20-23 (5:30-8:00PM)
Child'd Name (Nombre del Niño)

First NameLast Name
Parents Name (Nombre del Padre)

First NameLast Name
Phone Number (Numero de celular)
Format: (000) 000-0000.
Parent E-mail (Correo Electronico)
example@example.com
Birth Date (Cumpleaños)

MonthDayYear
Last Grade Completed in School (ultimo año escolar)
Do you plan to stay and attend to the adult class? (Piensas quedarte y asistir a la clase de adultos?)
Address (Direccion)

Street Address (direccion)

Street Address Line 2

City (Ciudad)State / Province (Estado)

Postal / Zip Code (codigo postal)
Medical or other information we need to know. (Please include food allergies.) Informacion medica que se nececite saber. (favor de incluir alergias.)
Emergency Contact Name (other than listed above) (Nombre de contacto de emergencia diferente al de arriba.)

First Name (nombre)Last Name (apeido)
Emergency Contact Number (Numero del contacto de emergencia)
Please enter a valid phone number.Format: (000) 000-0000.
Who may pick up your child at the end of each VBS Day? (Quien puede recojer a su hijo al final del dia?)

First NameLast Name
Optional names for pick up (nombres adicionales para recojer?)

First & Last NameFirst & Last Name
May we have permission to photograph your child? (Tenemos permiso de fotografíar a su hijo?)
May we have permission to use your child’s photograph for the purpose of promotion? (Tenemos permiso para utilizar la fotografía de su hijo con fines promocionales?)
Are you a member of this church ? (Eres miembro de esta iglesia?)
Should be Empty:

VBS Child Registration