VBS Registration Form 2026
We are thrilled to shine a light on who Jesus really is this summer! VBS at Elkin Valley Baptist Church will be held June 22-26th nightly from 6-8:30pm. Register attendee's below.
Parent 1 Name
*
First Name
Last Name
Mobile Number 1
*
Format: (000) 000-0000.
Parent 2 Name
First Name
Last Name
Mobile Number 2
*
If there is only one parent, please list an emergency number here that is different than the one listed above.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like more information about our church and kids/student ministries?
*
Yes, please!
No, thank you.
Has your child made a profession of faith?
*
Yes
No
I'm not sure what this means
Kid/Student Name
*
First Name
Last Name
Kid/Student 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
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Year
Kid/Student Gender
*
Please Select
Male
Female
Last grade kid/student will have completed by June 2026
*
Please Select
PreK 4’s & 5’s (has not started Kindergarten)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Students 6-12th
Please list trusted people who have permission to pick up your kid/student
*
For the safety of your kid/student, trusted people may be asked to show their license for proof of identity.
Additional Comments/Allergies/Special Needs:
If your child has special needs and needs a one-on-one buddy, we have a buddy ministry and are happy to accommodate your child with a buddy through classroom integration with their peers and/or our sensory room.
Glow Party!
Join us as we kick off VBS with a glow party on June 14th from 3-5pm. This event is for parents and kids (through 5th grade). Come meet teachers, ask questions and get a sneak peek of shining a light on who Jesus really is!
Let us know how many adults will be attending:
*
This is not a drop off event—adults must accompany minors.
Let us know how many kids (through 5th grade) will be attending:
*
This is not a drop off event—adults must accompany minors.
Submit
Should be Empty: