2026 VBS Registration Form
(One Per Child) VBS will be July 19th - 22nd. Starting at 6:00PM - 8:30PM.
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Untitled Section
Child's name
*
Email
*
Child's Gender
*
Female
Male
Child's Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Last School Grade Completed
*
Name of Parents/Guardians
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Number of Parents/Guardians
*
Home Church
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Emergency Contact Information
Allergies, Medical Conditions, or special needs:
Is it okay to photograph your child?
Yes
No
In case of emergency, contact
Phone Number
Relationship to child
Submit
Should be Empty: