2026 BPC VBS Registration Form

VBS Registration Form

Please fill out your details and consents to complete the registration.
Parent/Guardian Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Child(ren) Information
Does your child have any allergies? If yes, please list them.
Are there any medications, routine or emergency, that need to be taken during VBS? If so, please ensure medications are properly labeled with the child's name and given to a VBS registration volunteer at the time of check-in. Please note dosage, administration instructions, etc., in the box below.
Emergency Contact Full Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Child
Do you give permission for your child(ren) to be photographed during VBS activities? VBS Photos may be used in future general church promotional materials including social media, flyers, etc.
Should be Empty: