Pecks Baptist Church VBS 2026 Registration Form - Emerald Crossing
In a world filled with worry and confusion, kids need to know there is a God who cares for them. At Emerald Crossing VBS, they’ll journey through Ireland’s lush landscapes, exploring the powerful words of Psalm 23. They’ll discover the life of the shepherd-king David and will learn how to cross from worry to peace, from fear to faith, and from uncertainty to a firm foundation in God’s Word through a relationship with the Good Shepherd. Get your passport ready for Ireland and join the adventure!
Attendee Information
If you or your child would like to participate in this event as a participant, please complete the following form.
Participant's Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Parent/Guardian Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Last Grade Completed
*
Allergies, Medical, and Special Needs (Leave Blank if None)
Emergency Contact Name (1)
*
Emergency Contact Phone (1)
*
Emergency Contact Name (2)
Emergency Contact Number (2)
Authorized Pickup #1
*
Authorized Pickup #2
Authorized Pickup #3
Authorized Pickup #4
Are you a member of this church?
Yes
No
Do you attend church?
Yes
No
May we have permission to photograph your child?
Yes
No
May we have permission to use your child's photograph in church publications?
Yes
No
Comments:
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