Clone of Vacation Bible School Registration 2026

JULY 22nd - 26th

6:00 PM - 8:30 PM (Wed.-Fri)

9 AM - 12 PM (Sat)

Closing Program (Sun)

9:30 AM Sunday School/10:30 Church AM

(Ages 4-12 yrs old)
Child's Name

First NameLast Name
Child's Age
Date of Birth

MonthDayYear
Date
Last Grade Completed
Name of Parent(s)/Guardian(s)

First NameLast Name
Street Address
City
State
Zip
Phone 1
Format: (000) 000-0000.
Email Address
example@example.com
Home Church
Does your child need a ride on the van?
Allergies or other medical conditions
In Case of Emergency, Contact:
Name

First NameLast Name
Relationship to child
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Should be Empty: