VBS Children's Registration

Vacation Bible School July 23 - 25, 2026
How many children are you registering?
Child Information
First Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
T-Shirt Size
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies) N/A if not applicable.
Second Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
T-Shirt Size
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies). N/A if not applicable.
Third Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
T-Shirt Size
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies) N/A if not applicable.
Child Release Information
Parent/Legal Guardian Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
Names of Person(s) to which the child (children) may be released to at the end of VBS each day

First NameLast Name
First NameLast Name
Emergency Contact 1 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 1 Phone Number

Area CodePhone Number
Are you interested in volunteering for Vacation Bible School (VBS)?
What area would you like to serve?

Other
Volunteer T-Shirt Sizes
Which day(s) are you available to help?
Media Release
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.
Should be Empty:

Vacation Bible School July 23 - 25, 2026

Child Information

First Child

Second Child

Third Child

Child Release Information

Media Release