VBS at Dive Christian Church 2026 Participant Registration Form

VBS at Dive Christian Church 2026 Participant Registration Form

We are excited to have your child join us July 20th-22nd from 5-8pm for our Emerald Crossing VBS at Dive!
VBS kickoff open house: Sunday July 19th, 5-7pm

*Please note parents will STAY WITH their children on this first night! Bring clothes suitable for getting wet! (weather permitting)
Participant's Full Name

First NameLast Name
Participant's Grade (2026-27 school year)
Participant's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Name

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

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Allergies or Medical Conditions
Should be Empty:

VBS kickoff open house: Sunday July 19th, 5-7pm