VBS 2026

Please fill out the form to register for Vacation Bible School and ensure all required information is provided.

Child's Full Name

First NameLast Name

Child's Date of Birth

Date

Street Address, City, State, and ZIP Code

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Email Address

example@example.com

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency contact relationship to child

Medical Conditions, Allergies, or Special Needs

Home church

Name of a special friend your child might like to be with

Roman Family name (for church use only)