2026 Axtell Baptist Church VBS Registration
Please fill out the form to complete your registration.
Participant's Full Name
*
First Name
Last Name
M.I.
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Gender
*
Please Select
Male
Female
Grade Completed
*
Please Select
PRE K - KINDER
1st - 2nd grade
3rd - 4th grade
5th grade
Have you previously attended VBS?
yes
no
If yes what year
-
Month
-
Day
Year
Date
Home Church (if any)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sibling enrolled in VBS?
*
Name
Name
Name
EMERGENCY CONTACTS
Please list the first and last names and phone numbers of ALL adults who are allowed to pick up this child. The child will only be released to these people.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Guardian Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to child
*
Alternate Guardian
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to child
Medical Information
Please list all allergies - or type "none" if there are none
*
Please list all medical concerns - or type "none" if there are none
*
Does your child carry an epi-pen? (please note: if yes, it is the responsibility of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)
*
yes
no
Additionally Information
Please List Childs Shirt Size
Child Name and Shirt Size
VBS photos/videos are taken for promotional purposes related to Axtell Baptist Church and Vacation Bible School. These pictures appear in various media outlets such as our Facebook page and other social media webpages. Do you allow your child to be included in these photos/viedos?
*
yes
no
By submitting this form, you acknowledge that you have read and understood the above information
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