VBS registration Form

Vacation Bible School Registration

June 29-July 2, 2026 from 6:00 - 8:00 PM
VBS welcomes children ages Pre-K (potty trained) through entering 4th grade. Deadline to register is June 13, 2025 at 11:45 PM.

For more information, please contact:
Amy Randall at 318-560-2470 or akl143@aol.com
Full Name

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Home Church
Emergency Contact Name

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
List Children Attending

Name, Age, Allergies, Special Needs
Child 1

First NameLast Name
Child 1 Age
Grade Entering Child 1
Allergies & Special Needs 1
Shirt Size 1
Child 2

First NameLast Name
Child 2 Age
Grade Entering Child 2
Allergies & Special Needs 2
Shirt Size 2
Child 3

First NameLast Name
Child 3 Age
Grade Entering Child 3
Allergies & Special Needs 3
Shirt Size 3
Child 4

First NameLast Name
Child 4 Age
Grade Entering Child 4
Allergies & Special Needs 4
Shirt Size 4
If you have more that 4 children,
please submit an additional form.
Should be Empty:

Vacation Bible School Registration