Vacation Bible School ~ June 22-26, 2026 ~ 6:00-8:00 PM Rising Hope Church at 4162 Roxbury Rd, Shippensburg

Vacation Bible School June 22-26, 2026 6:00-8:00 PM Rising Hope Church at 4162 Roxbury Rd, Shippensburg

Please fill out your details to register for VBS.
Participant 1 Full Name

First NameLast Name
Participant 1 — Gender
Grade next Fall
Participant 1 — Allergies or medical conditions
Participant 1 — I authorize that my child's image may be photographed, filmed, and used in video, print, and web presentation at Rising Hope Church.*
Participant 1 — I give permission for my child to participate in Vacation Bible School activities.
Participant 2 Full Name

First NameLast Name
Participant 2 — Gender
Grade next Fall
Participant 2 — Allergies or medical conditions
Participant 2 — I give permission for my child to participate in Vacation Bible School activities.
Participant 2 — I authorize that my child's image may be photographed, filmed, and used in video, print, and web presentation at Rising Hope Church.*
Participant 3 Full Name

First NameLast Name
Participant 3 — Gender
Grade next Fall
Participant 3 — Allergies or medical conditions
Participant 3 — I give permission for my child to participate in Vacation Bible School activities.
Participant 3 — I authorize that my child's image may be photographed, filmed, and used in video, print, and web presentation at Rising Hope Church.*
Participant 4 Full Name

First NameLast Name
Participant 4 — Gender
Grade next Fall
Participant 4 — Allergies or medical conditions
Participant 4 — I give permission for my child to participate in Vacation Bible School activities.
Participant 4 — I authorize that my child's image may be photographed, filmed, and used in video, print, and web site presentation at Rising Hope Church.*
First Parent/Guardian Name

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

First NameLast Name
Second Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Parent/Guardian Email Address (if different from First Parent/Guardian)
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name (if parents/guardians cannot be reached)

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

Vacation Bible School June 22-26, 2026 6:00-8:00 PM Rising Hope Church at 4162 Roxbury Rd, Shippensburg