Breaker Rock Beach VBS Registration 🏖️🌞🌊

Breaker Rock Beach VBS Registration 🏖️🌞🌊

A free week of Bible stories, music, crafts, games, and snacks for kids ages 5-12. This year's theme is Breaker Rock Beach — God's rock-solid truth in a world of shifting sands. August 9-13, 2026 at Stone Ridge Community Church. Please complete one form per child.
What to Expect
Welcome! We're so excited your child wants to join us at VBS!

This year's theme is Breaker Rock Beach — kids will discover that God's truth never changes, even in a world of shifting sands (Romans 12:2). Through Bible stories, music, crafts, games, and snacks, your child will explore "God's rock-solid truth in a world of shifting sands." All kids are welcome — whether your family attends church regularly or this is your first time!

DATES
- Sunday, August 9 — Optional sneak peek during Adventure Kids Sunday School (a fun preview, not required)
- Monday, August 10 – Thursday, August 13 — Full VBS each day

TIMES
- 9:00–11:00 AM each day
- Drop-off: 8:30–9:00 AM
- Pick-up: 11:00–11:30 AM (only adults you list will be allowed to pick up your child; photo ID may be requested)

LOCATION
Stone Ridge Community Church
1111 Montgomery St, Decorah, IA 52101

AGES: 5–12 | COST: FREE (including a t-shirt for your child!)

SAFETY: All volunteers complete background checks. We maintain a 1-leader-per-6-kids ratio with at least 2 adults in every group at all times. A first aid kit is on-site.

WHAT TO BRING: Just your child! Please dress them in clothes they can move and play in (closed-toe shoes recommended). We'll provide everything else.

SNACKS: Provided each day. Our snack table is peanut and tree nut free as a default. Please list any allergies below.

QUESTIONS? Email vbs.stoneridge@gmail.com or call/text Lauren Egeland 563-380-2025

Please complete one form per child. Takes about 5 minutes.
Child’s Information
Child's First Name
Child's Last Name
Date of Birth

MonthDayYear
Date
Age as of August 9, 2026
Last Grade Completed in School
Child's T-shirt Size
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Relationship to Child
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address if Different

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact
Backup contact used if parent/guardian cannot be reached.
Emergency Contact Full Name

First NameLast Name
Relationship to Child
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Health & Safety Information
Please share anything our leaders need to know to help keep your child safe and comfortable.
Allergies (food, medication, environmental, etc.)
Medical conditions, medications, or other health information
Special needs or learning differences
Anything else we should know
Photo & Media Permissions
May we photograph your child during VBS for our records and to share with families?
May we use your child’s photo in promotional materials, church website, social media, and future VBS promotion?
About Your Family
Does your family currently attend a church?
Which church do you attend?
Does your child currently attend Adventure Kids Sunday School at Stone Ridge?
How did you hear about VBS?
Agreement & Consent
Agreement
I have read and agree to the above.
Parent/Guardian Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Breaker Rock Beach VBS Registration 🏖️🌞🌊

What to Expect

Child’s Information

Parent/Guardian Information

Emergency Contact

Health & Safety Information

Photo & Media Permissions

About Your Family

Agreement & Consent