BBC 2026 VBS Registration Form

June 22, 2026 - June 25, 2026 - 5:30pm - 8pm

BBC Vacation Bible School
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Select Age Range
Grade Completed
Allergies/Special Instructions
Add additional family members?
Enter Additional Family Members

Enter Name and Age range for each additional family member

PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Alternate Contact

First NameLast Name
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Photo Waiver

I acknowledge that any person registered on this form, as a participant in Vacation Bible School at Bible Baptist Church, may be photographed or captured on video during the Vacation Bible School program and activities. I hereby grant full permission to Bible Baptist Church to use photographs or videos-in print, electronic, online, or other public media-of the registered individual on this form and further release Bible Baptist Church from any and all liability connected with the authorized use of words and image of the person registered on this form.
Should be Empty:

Rows	Full Name	Age Range	Grade Completed	Allergies/Special Instructions
Name 2
Name 3
Name 4
Name 5
Name 6

June 22, 2026 - June 25, 2026 - 5:30pm - 8pm