Clone of VBS 2025 Registration

VBS 2026 Registration

VBS is for children who have completed kindergarten through the 5th grade.
How many children are you registering?
Child Information
First Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
If yes, where?
Medical or other information we may need to know about the child (including food allergies).
Second Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Third Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Fourth Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Does the child attend Sunday school anywhere?
Where?
Medical or other information we may need to know about the child (including food allergies).
Child Release Information
Parent/Legal Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Insurance Company
Insurance Policy or Group Number
Names of Persons to which the child (children) may be released to each night after VBS (Please provide at least two)

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Are there any persons to which the child (children) may NOT be released to?
Who may your child (children) NOT be released to?
Emergency Contact (other than parent/guardian listed above)

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Media Release
First Baptist Church of Shelbyville has my permission to use my child's likeness in a photograph, video, or other digital media ("photo") in any and all of its publications, including web-based publications.

VBS 2026 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Media Release

Medical Release Form - FBC VBS 2025