VBS 2026 Registration
VBS is available for children 4 years old to just completed 6th grade.
Parent/Legal Guardian Name
*
First Name
Last Name
Parent/Legal Guardian Phone Number
*
-
Area Code
Phone Number
First Child
Child's #1 Name
First Name
Last Name
Child #1 Age
Child #1 Grade
Child #1 Birthdate
Medical or other information we may need to know about the child (including food allergies).
*
Second Child
Child's #2 Name
First Name
Last Name
Child #2 Age
Child #2 Grade
Child #2 Birthdate
Medical or other information we may need to know about the child (including food allergies).
*
Third Child
Child's #3 Name
First Name
Last Name
Child #3 Age
Child #3 Grade
Child #3 Birthdate
Medical or other information we may need to know about the child (including food allergies).
*
Emergency Contact 1 (other than parent/guardian listed above)
*
First Name
Last Name
Emergency Contact 1 Phone Number
*
-
Area Code
Phone Number
Emergency Contact 2 (other than parent/guardian listed above)
*
First Name
Last Name
Emergency Contact 2 Phone Number
*
-
Area Code
Phone Number
Media Release
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.
*
I Agree
I Don't Agree
Submit
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