VBS 2026 Registration Form🎉

VBS 2026 Registration Form🎉

Eighth Street Baptist Church — Junkyard Redemption. VBS Dates: June 15–17, 2026. Fun Day: June 18, 2026
Child Registration Information
Child Entries
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
Street Address Line 2
State / Province
Postal / Zip Code
Adult Registration Information
Adult Registrant 1 Name

First NameLast Name
Adult Registrant 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Adult Registrant 1 Email
example@example.com
Adult Registrant 1 Emergency Contact Name

First NameLast Name
Adult Registrant 1 Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Adult Registrant 1 Emergency Contact Relationship
Medical & Safety
Allergies
Medical Conditions
Medications
Special Needs
Permissions
Photo/Video Permission
Medical Treatment Permission
Additional Notes We Need To Know
Today’s Date

MonthDayYear
Date
Sign Here
Signature
Should be Empty: