2026 VBS - Child Registration (Grades K-6)

June 22-26 from 9:00am to Noon | We would love for you to join us for our VBS Family Day on Sunday, June 28! 10:30am Kids will sing, have a photo slideshow, and leaders will share about VBS - followed by Worship.

At 5:30pm we will have VBS Family Night combined with our Church Picnic. Hot Dogs, treats, inflatables and games!

Date

Child's Name (First/Last)

Primary Parent/Guardian Name (First/Last)

Address

Phone

This address will receive a confirmation email

Grade Entering This Fall:

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Date Of Birth (MM/DD/YY)

Is This Child Fully Potty Trained? (This Is Required To Attend VBS)

Please select one option.

Yes No

Does This Child Have Any Allergies?

Please select one option.

Yes No

Does This Child Have Any Medical/Health Concerns That Would Not Be Considered An Allergy?

Please select one option.

Yes No

Please Explain Any Medical Concerns Or Allergies

Does this child have any behavior or learning needs that would be helpful for our leaders to know about?

Please select one option.

Yes No

Please explain behavior or learning needs:

First Emergency Contact (Name/Phone Number)

Second Emergency Contact (Name/Phone Number)

List Any Additional Authorized Persons For Pickup

Do You Agree To Contact The Church If You Would Not Like Photos Of Your Child To Be Taken At VBS?

Please select one option.

Yes No

If You Are Visiting Our Church, How Did You Hear About VBS?

Do You Regularly Attend A Different Church In The Area?

Please select one option.

Yes No

If So, Which Church Do You Attend?

Description

June 22-26 from 9:00am to Noon

We would love for you to join us for our VBS Family Day on Sunday, June 28! 10:30am Kids will sing, have a photo slideshow, and leaders will share about VBS - followed by Worship.

At 5:30pm we will have VBS Family Night combined with our Church Picnic. Hot Dogs, treats, inflatables and games!

2026 VBS - Child Registration (Grades K-6)

Description

Please Fix the Following