VBS 2026 Adult Attendee Registration
Standard online registration form based on the attached PDF. Please complete the fields in order; fields are optional unless marked required. Preserve the exact acknowledgement statements from the source document.
Registrant Information
Full Name
*
First Name
Last Name
Preferred Name
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Street Address
*
City / State / Zip
*
Home Church
Attendance Details
AME Member
Yes
No
If attending with child(ren), list child name(s)
Days Attending
*
Monday, June 29
Tuesday, June 30
Wednesday, July 1
All three days
I am attending as
*
Adult Bible study participant
Parent/guardian remaining on site
Guest/visitor
Church member
Other (attendance role)
Emergency Contact and Health Information
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Allergies, food restrictions, mobility/accessibility needs, or health concerns VBS should know
Acknowledgements and Permissions
Emergency care acknowledgement: In the event of an emergency, I authorize the organizers to seek appropriate medical care for me if I cannot provide consent.
Acknowledgement 1
*
I acknowledge that I have read and agree to the VBS participant guidelines.
Acknowledgement 2
*
I understand that I am responsible for my own transportation to and from VBS events.
Acknowledgement 3
*
I agree to notify the organizers of any changes to my health information before attending.
Acknowledgement 4
*
I understand that participation is subject to the rules and instructions of the VBS leadership.
Acknowledgement 5
*
I confirm that the information provided in this registration is accurate and complete.
Photo/video permission
*
Yes, I give permission for photos or videos to be taken and used for ministry purposes.
No, I do not give permission for photos or videos to be taken or used.
Communication permission
*
Yes, I may be contacted with VBS-related information and future ministry communications.
No, contact me only about this VBS registration.
Signature and Confirmation
Adult Signature
*
Date
*
-
Month
-
Day
Year
Date
Printed Name
*
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Office Use Only
Received Date
*
-
Month
-
Day
Year
Date
Received By
Attendee Status
*
Adult attendee only
Volunteer Referral
N/A
Yes
Notes
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Submit
Submit
Should be Empty: