VBS 2026 Registration

VBS Child Registration
Get ready for an unforgettable week at Restoration Kids VBS! Join us August 3–7 from 9am–12pm for a high-energy week full of music, games, creativity, friendships and discovering the light of Jesus together. Kids will learn that they were created to shine God’s love wherever they go. VBS is open to kids entering Kindergarten through 5th grade and is one of the best weeks of the summer!
Child Name

First NameLast Name
Age
Gender
Date of Birth

MonthDayYear
Date
Current Grade Level
If younger than Kindergarten, please specify their age
Grade level on next school year
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does the child have any allergies? If yes, please list them below:
Will your child take medications during VBS? If yes, please list them below and provide the reason:
Does the child have any medical condition that we should be aware of? If yes, please explain below:

Terms and Conditions
- I allow my child to participate in this program.
- I hereby authorize Restoration Church, volunteer personnel and staff to conduct first aid, and medical care in the event of an emergency situation. I agreed to pay for all the medical care expenses and costs in a given situation that medical care is needed.
- I release the organizers from any liabilities that might happen during the activity and hold them harmless in the event of damages, injuries, or accidents.
- I confirm that all information in this form is accurate and true to the best of my knowledge.
Do you allow the organizers to take photos or videos during the activities of your child for advertising and marketing purposes that will be posted on social media?
Parent/Guardian Signature (by typing your name you are singing the VBS registration)
Date Signed

MonthDayYear
Date
Should be Empty:

VBS Child Registration