LEGACY VACATION BIBLE SCHOOL
FAMILY FORM - UP TO 3 CHILDREN CAN BE REGISTERED ON ONE FORM
~ if more than 3 children in the same household, please use a second form ~
Parents/Legal Guardian
Home Address
Phone Numbers [in case of emergency]
Format: (000) 000-0000.
Does your family attend church?
YES
NO
Where?
Who can pick up your child[ren] from VBS each day? List up to four people.
Relationship:
Who can pick up your child[ren] from VBS each day? List up to four people.
Relationship:
Who can pick up your child[ren] from VBS each day? List up to four people.
Relationship:
Who can pick up your child[ren] from VBS each day? List up to four people.
Relationship:
Participation and Photo Release Statement:
By signing this form, I give permission for my child to attend Vacation Bible School at Legacy Baptist Church July 16-19, 2026. I also understand that pictures will be taken of all activities throughout the week to be displayed in a slideshow for the closing program and to be used in promotional print and electronic media. I ____ do/ ____ do not [checkmark one] give permission for pictures taken of my child individually or in a group setting during the 2026 VBS activities to be used in future
written and/or electronic promotion pieces
for Vacation Bible School and/or other ministry outreaches of Legacy Baptist Church.
PRINTED NAME
SIGNATURE
DATE
-
Month
-
Day
Year
Date
FOR INFORMATION, PLEASE CALL
724.561.9298
We recommend PRE-REGISTRATION
so that we can be fully prepared for
your child[ren] the first day. If you do
not pre-register, PLEASE BRING THIS
FORM TO REGISTRATION TABLE ON
FIRST DAY OF ATTENDANCE.
Complete Reverse Side to register individual children
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CHILD #1 [first and last name - PRINT PLEASE]
CURRENT AGE
SCHOOL GRADE JUST COMPLETED [checkmark one]
NONE
PRE-K/K
1ST, 2nd, or 3rd
4th, 5th, or 6th
For VBS Snacks, does this child require any of these:
GLUTEN-FREE
DAIRY-FREE
Other
Does this child have any specials needs/learning disabilities and/or behavioral/social needs?
CHILD #2 [first and last name - PRINT PLEASE]
CURRENT AGE
SCHOOL GRADE JUST COMPLETED [checkmark one]
NONE
PRE-K/K
1ST, 2nd, or 3rd
4th, 5th, or 6th
For VBS Snacks, does this child require any of these:
GLUTEN-FREE
DAIRY-FREE
Other
Does this child have any specials needs/learning disabilities and/or behavioral/social needs?
CHILD #3 [first and last name - PRINT PLEASE]
CURRENT AGE
SCHOOL GRADE JUST COMPLETED [checkmark one]
NONE
PRE-K/K
1ST, 2nd, or 3rd
4th, 5th, or 6th
For VBS Snacks, does this child require any of these:
GLUTEN-FREE
DAIRY-FREE
Other
Does this child have any specials needs/learning disabilities and/or behavioral/social needs?
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