Vacation Bible School Registration

Vacation Bible School Registration

2026
Restoration Church International – Morgantown, WV

July 13–17 | 6:00 PM – 8:30 PM

We’re excited for a week of fun, learning, and growing in God’s Word!
Please complete the form below to register your child(ren).
Parent / Guardian Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Would you like to provide an alternate emergency contact in case we are unable to reach you?
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Child(ren)
How is this person related to your child(ren)?
Child(ren) Information
How many children are you registering?
If you are registering more than 5 children, please submit this form and then complete an additional submission for the remaining children.
Child 1
Name (Child 1)

First NameLast Name
Date of Birth (Child 1)

MonthDayYear
Date
Grade (Child 1)
Last Grade Completed
Allergies / Medical / Dietary (Child 1)
Please include any allergies, medical conditions, or dietary restrictions we should be aware of to best accommodate your child.
Additional Notes / Requests (Child 1)
Optional: Any other information you’d like us to know (preferences, group requests, etc.)
Child 2
Name (Child 2)

First NameLast Name
Date of Birth (Child 2)

MonthDayYear
Date
Grade (Child 2)
Last Grade Completed
Allergies / Medical / Dietary (Child 2)
Please include any allergies, medical conditions, or dietary restrictions we should be aware of to best accommodate your child.
Additional Notes / Requests (Child 2)
Optional: Any other information you’d like us to know (preferences, group requests, etc.)
Child 3
Name (Child 3)

First NameLast Name
Date of Birth (Child 3)

MonthDayYear
Date
Grade (Child 3)
Last Grade Completed
Allergies / Medical / Dietary (Child 3)
Please include any allergies, medical conditions, or dietary restrictions we should be aware of to best accommodate your child.
Additional Notes / Requests (Child 3)
Optional: Any other information you’d like us to know (preferences, group requests, etc.)
Child 4
Name (Child 4)

First NameLast Name
Date of Birth (Child 4)

MonthDayYear
Date
Grade (Child 4)
Last Grade Completed
Allergies / Medical / Dietary (Child 4)
Please include any allergies, medical conditions, or dietary restrictions we should be aware of to best accommodate your child.
Additional Notes / Requests (Child 4)
Optional: Any other information you’d like us to know (preferences, group requests, etc.)
Child 5
Name (Child 5)

First NameLast Name
Date of Birth (Child 5)

MonthDayYear
Date
Grade (Child 5)
Last Grade Completed
Allergies / Medical / Dietary (Child 5)
Please include any allergies, medical conditions, or dietary restrictions we should be aware of to best accommodate your child.
Additional Notes / Requests (Child 5)
Optional: Any other information you’d like us to know (preferences, group requests, etc.)
Pickup Authorization
Add anyone not already listed above who is authorized to pick up your child(ren). For the safety of all children, only listed individuals will be authorized for pickup.

Parent/Guardian and listed Emergency Contact are automatically authorized for pickup.
Authorized Pickup Person(s)
Additional Information
Is this your first time attending Vacation Bible School at Restoration Church International?
How did you hear about Vacation Bible School at Restoration Church International?
Who can we thank for inviting you?
Which social media platform?
Which website or page?
Please tell us more
Photo / Video Release
I give permission for Restoration Church International to photograph and/or record video of my child during Vacation Bible School activities.

I understand that these images and recordings may be used for church-related purposes, including but not limited to promotional materials, social media, the church website, and printed publications.

I understand that:
- My child’s name will not be publicly shared without additional permission.
- No compensation will be provided for the use of these images or recordings.
- These materials will be used in a manner consistent with the church’s values.
By selecting an option below, I acknowledge and agree to the above and release Restoration Church International, its staff, and volunteers from liability related to the use of these photos or videos.
This consent remains in effect unless revoked in writing.
Should be Empty:

Vacation Bible School Registration

Parent / Guardian Information

Emergency Contact

Child(ren) Information

Child 1

Child 2

Child 3

Child 4

Child 5

Pickup Authorization

Additional Information

Photo / Video Release