Schrader Lane Church of Christ
June 22nd - June 24th
VBS 2026 Registration Form
Registration must be competed by June 7th to receive a VBS T-Shirt
Child's Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Child's Birthday
*
-
Month
-
Day
Year
Date
Child's Grade for the 2026- 2027 School Year
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Please provide your shirt size?
*
Please Select
YS
YM
YL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Does your child have any allergies or special needs we need to be aware of?
*
If none, type N/A in the text box.
Parent or Guardian's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a Member of Schrader Lane Church of Christ?
*
Please Select
Yes
No
If you a a visitor, with whom are you visiting?
*
Submit
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