VBS Child Registration
Abundant Life, 3829 S Carrier Pkwy, Grand Prairie, TX
Monday, July 13 - Thursday, July 16 2026 @ 9am-Noon. PreK-6th Grade.
This registration form allows you to register up to 4 children in your family. If you need to register additional children, please use a separate form.
Which VBS day(s) are you registering for?
*
Monday, July 13th from 9am-Noon
Tuesday, July 14th from 9am-Noon
Wednesday, July 15th from 9am-Noon
Thursday, July 16th from 9am-Noon
YOUR NAME (Parent/Guardian)
*
First Name
Last Name
YOUR CELL NUMBER
*
Format: (000) 000-0000.
YOUR EMAIL
*
example@example.com
YOUR RELATIONSHIP TO CHILD(ren)
*
ex: Parent, Grandparent, Guardian, etc.
Back
Next
CHILD #1
Child #1 NAME
*
First Name
Last Name
Child #1 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
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #1 GENDER
*
Please Select
Male
Female
N/A
Child #1 GRADE entering in Fall
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #1 ALLERGIES/SPECIAL NEEDS?
Back
Next
CHILD #2
Child #2 NAME
First Name
Last Name
Child #2 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
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #2 GENDER
Please Select
Male
Female
N/A
Child #2 GRADE entering in Fall
Please Select
Pre-K 4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #2 ALLERGIES/SPECIAL NEEDS?
Back
Next
CHILD #3
Child #3 NAME
First Name
Last Name
Child #3 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
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #3 GENDER
Please Select
Male
Female
N/A
Child #3 GRADE entering in Fall
Please Select
Pre-K 4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #3 ALLERGIES/SPECIAL NEEDS?
Back
Next
CHILD #4
Child #4 NAME
First Name
Last Name
Child #4 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
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #4 GENDER
Please Select
Male
Female
N/A
Child #4 GRADE entering in Fall
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #4 ALLERGIES/SPECIAL NEEDS?
Back
Next
Additional Emergency Contact
*
First Name
Last Name
Emergency Contact CELL NUMBER
*
Format: (000) 000-0000.
Emergency Contact Relationship to Child(ren)
*
ex: Parent, Grandparent, Guardian, etc.
Additional Comments
FREE EVENT: There is no cost for VBS but we welcome your donations using this link https://onrealm.org/AbundantLifeGP/give/VBS or Text ALIFE VBS to 73256 to give using your mobile device.
Submit
Should be Empty: