Vacation Bible School Registration
July 20-24, 2026 | 9:30 AM-12:00 PM
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Age Group
*
Beginner (Ages 4-5)
Primary (Ages 6-8)
Junior (Ages 9-12)
My child needs transportation to VBS
*
Yes
No
My child has allergies
*
Yes
No
If yes, what allergies?
Emergency Contact
*
First Name
Last Name
Relationship to Child
*
Please Select
Father
Mother
Grandfather
Grandmother
Aunt
Uncle
Foster Parent
Guardian
Other
Custody Instructions
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I give my child permission to attend Vacation Bible School at Landmark Baptist Church during the week of July 20-24, 2026.
Signature
*
Continue
Continue
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