Vacation Bible School 2025 Registration

June 23-27, 2025, 9 am to Noon, Ages 3 (prior to VBS) through 6th Grade | Please fill out this form and click submit.

Child’s Name

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Parent/Guardian Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Age

*

Birthdate

*

Last Grade Completed

*

Please select one option.

Pre-K Age 3 Pre-K Age 4 Kindergarten 1st 2nd 3rd 4th 5th 6th

List any medical or other information we need to know. (Please include any allergies)

Does your child have an EpiPen?

*

Please select all that apply.

Yes No

Emergency Contact

*

Emergency Contact Phone

*

Will your child need transportation to and from VBS? If yes, a transportation form must be completed.

*

Please select all that apply.

Yes No

Who may pick up your child at the end of each VBS day?

*

Does your child attend Sunday School? If so where?

If your child is visiting our church, who is s/he a guest of?

May we have permission to photograph your child

*

Please select one option.

Yes No

May we have permission to use your child's photograph for the purpose of promotion?

*

Please select one option.

Yes No

Are there any custody situations? If yes, please specify.

Description

June 23-27, 2025, 9 am to Noon, Ages 3 (prior to VBS) through 6th Grade

Please fill out this form and click submit.

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