2026 Vacation Bible School Registration Form

Please fill out this form and click submit.

Child's Name

*

Birthdate (including year)

*

Completed Grade (as of 7/1/2026)

*

T-Shirt Size

*

Please select one option.

Y Small Y Med Y Large

Allergies or Special Needs

*

May we photograph

*

Please select one option.

Yes No

Parent/Guardian Name

*

Cell Phone

*

Email

*

This address will receive a confirmation email

Address

*

Please list others who are allowed to pick up your child

*

Any other information that is important for us to know

Preferred Method of Contact

*

Please select one option.

Phone Call Text Email

Emergency Contact

Name

*

Cell Phone

*

Church Information

Are you a member of a local church

*

Please select all that apply.

Yes No

If yes, what is the name of the church you attend

Description

Please fill out this form and click submit.

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