VBS 2026 Registration

Please fill out this form and click submit.

Childs Name

*

Childs Birthday

*

Grade completed

*

Please select one option.

Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

Parents Name

*

Parents Email

*

This address will receive a confirmation email

Phone # is required for emergency contact

*

Address

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

*

Please select one option.

Yes No

If "Yes", please explain

Will your child be riding the bus to or from VBS? (NOTE: Bus Service will NOT be available for Monday pick up or for the Pool Party.)

*

Please select one option.

Yes No

What size T-Shirt does your child wear?

*

Please select one option.

Youth XS Youth S Youth M Youth L Adult S Adult M Adult L Adult XL

Please list the names of anyone who may NOT pick your child up from VBS

Do you currently attend church anywhere?

Please select one option.

Yes No

If "Yes", Where?

Description

Please fill out this form and click submit.

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