North Main COGIC 2026 VBS

Jesus spoke to them again: "I am light of the world. Anyone who follows me will never walk in darkness but will have the light of life." -John 8:12
- Name
  
  First NameLast Name
- Gender
- Grade Entering in the Fall
- T-Shirt Size
- Parent or Guardian
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Email
  example@example.com
- EMERGENCY CONTACTS Please list the first and last names and phone numbers off ALL adults who are allowed to pick up this child. The child will only be released to these people.
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Alternate Parent or Guardian
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Please list all allergies or medical concerns -- or type "none" if there are none
- Name
  
  First NameLast Name
- Mobile Phone Number
  We will keep in contact via text messagingFormat: (000) 000-0000.
- Email
  example@example.com
- T-Shirt Size
- Area in which you would like to help:
- Should be Empty: