West Canaan Vacation Bible School 2026 Registration

Vacation Bible School 2026 Registration

Register your child(ren) for West Canaan MB Church VBS 2026. Please complete all sections.
If you would like to only sign up for the Adult VBS Class, please click box & click Next at bottom to register.
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Relationship to Child(ren)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Adult Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Child's Informatiion
Name

First NameLast Name
Date of birth

MonthDayYear
School Grade
Additional Child Information
Medical Information
List any allergies or medical conditions
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Child(ren)
Pickup Authorization
Authorized Pickup Persons (Names and Relationships)
Consent and Agreement
Child Information

Vacation Bible School 2026 Registration