2026 Vacation Bible School Registration (All Ages)
June
Parent/Guardian name
*
Parent/Guardian phone#
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Home Email
example@example.com (only used for VBS correspondence
Home church (optional)
In case of an emergency, contact name
Emergency contact phone#
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact relation to child/youth
#1 Child/Youth Name. Please provide all details for each child.
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Child/Youth Age
Please Select
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
Child/Youth Gender
Please Select
Male
Female
Last school grade completed
Please Select
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
List all allergies, medical conditions, or any special needs
Bus Pickup
Please Select
YES
WacoBC has a bus ministry that will be running during VBS. Select YES if you need bus pickup for your child or children.
#2 Child/Youth Name. Please provide all details for each child.
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Child/Youth Age
Please Select
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
Child/Youth Gender
Please Select
Male
Female
Last school grade completed
Please Select
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
List all allergies, medical conditions, or any special needs
Bus Pickup
Please Select
YES
WacoBC has a bus ministry that will be running during VBS. Select YES if you need bus pickup for your child or children.
#3 Child/Youth Name. Please provide all details for each child.
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Child/Youth Age
Please Select
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
Child/Youth Gender
Please Select
Male
Female
Last school grade completed
Please Select
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
List all allergies, medical conditions, or any special needs
Bus Pickup
Please Select
YES
WacoBC has a bus ministry that will be running during VBS. Select YES if you need bus pickup for your child or children.
#4 Child/Youth Name. Please provide all details for each child.
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Child/Youth Age
Please Select
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
Child/Youth Gender
Please Select
Male
Female
Last school grade completed
Please Select
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
List all allergies, medical conditions, or any special needs
Bus Pickup
Please Select
YES
WacoBC has a bus ministry that will be running during VBS. Select YES if you need bus pickup for your child or children.
Submit
Should be Empty: