Vacation Bible School 2026

URL

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Child's Name*

First Last

Parent/Guardian's Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender*

Age*

Last Grade Completed*

If T-shirts are available, would you like to purchase one?*

What Size?

How did you hear about this event?

Does your child have any allergies*

List Allergies:

Does your child have any medical conditions we should be aware of?*

Some parts of the program may include flashing lights. Please inform us if your child is prone to seizures or may be sensitive to flashing lights.

Please list their medical conditions:

Anyone who will be picking up a child from VBS must be listed on this form and present a valid photo ID that matches the information provided.

Emergency Contact Name*

Emergency Contact Phone*

Authorized Pick Up Name

Phone

Authorized Pick Up Name

Phone

Authorized Pick Up Name

Phone

VBS Registration 2026