Vacation Bible School 2026 Registration
June 22-26, 2026, 9 am to Noon, Ages 3 (prior to VBS) through 6th Grade | Please fill out this form and click submit.
Child’s Name
*
Parent/Guardian Name
*
Age (3 year olds must be potty trained prior to VBS.)
*
Birthdate
*
Last Grade COMPLETED
*
Please select one option.
Pre-K Age 3
Pre-K Age 4
Kindergarten
1st
2nd
3rd
4th
5th
6th
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Emergency Contact
*
Emergency Contact Phone
*
Are there any custody situations that would affect child pickup? If yes, please specify.
Will your child need transportation to and from VBS? If yes, a transportation form must be completed.
*
Please select all that apply.
Yes
No
List any medical or other information we need to know. (Please include any allergies)
Does your child have an EpiPen with them?
*
Please select all that apply.
Yes
No
Does your child attend church?
Please select one option.
Yes
No
Select Option
Yes
No
If yes, where?
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 promotion?
*
Please select one option.
Yes
No
Submit
Description
June 22-26, 2026, 9 am to Noon, Ages 3 (prior to VBS) through 6th Grade
Please fill out this form and click submit.
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