Vacation Bible School (VBS) Child Registration Form
VBS Theme: Shining A Light On Who Jesus Really Is!
VBS Dates: 06/15/2026 to 06/19/2026
VBS Time: 6:00 pm to 8:00 pm
Please fill out a separate registration form for each child. After filling out this form, click submit.
Parent's Full Name
*
Phone Number
*
Parent's Email Address
*
This address will receive a confirmation email
Child's Name
*
Child Gender
*
Please select all that apply.
Male
Female
Child Grade
*
Please select all that apply.
Pre K - 3rd Grade
4th Grade - 8th Grade
Allergies
*
Medical conditions or special needs
*
Is your child allowed to receive first aid if needed?
*
Please select all that apply.
Yes
No
I give permission for my child to be photographed or recorded during VBS for church use (website, bulleting, social media)
*
Please select all that apply.
Yes
No
Submit
Description
VBS Theme: Shining A Light On Who Jesus Really Is!
VBS Dates: 06/15/2026 to 06/19/2026
VBS Time: 6:00 pm to 8:00 pm
Please fill out a separate registration form for each child. After filling out this form, click submit.
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