2026 VBS Registration

July 13-16 | Please fill out this form and click submit.

VBS is for children entering Kindergarten through entering 6th grade.

Child 1 Information

Child 1 Name

Birthdate

Gender

Please select one option.

Male Female

Grade

Please select all that apply.

Nursery is available for VBS leaders and helpers Pre-Kindergarten (2,3 & 4's) for VBS leaders and helpers Entering Kindergarten Entering 1st Entering 2nd Entering 3rd Entering 4th Entering 5th Entering 6th

Allergies, Medical and/or Special Needs

Child 2 Information

Child 2 Name

Birthdate

Gender

Please select all that apply.

Male Female

Grade

Please select one option.

Nursery is available for VBS leaders and helpers Pre-Kindergarten (2,3, & 4's) for VBS leaders and helpers Entering Kindergarten Entering 1st Entering 2nd Entering 3rd Entering 4th Entering 5th Entering 6th

Allergies, Medical and/or Special Needs

Child 3 Information

Child 3 Name

Birthdate

Gender

Please select one option.

Male Female

Allergies, Medical and/or Special Needs

Grade

Please select one option.

Nursery is available for VBS leaders and helpers Pre-Kindergarten (2, 3, & 4's) for VBS leaders and helpers Entering Kindergarten Entering 1st Entering 2nd Entering 3rd Entering 4th Entering 5th Entering 6th

Child 4 Information

Child 4 Name

Birthdate

Gender

Please select one option.

Male Female

Grade

Please select one option.

Nursery is available for VBS leaders and helpers Pre-Kindergareten (2, 3, & 4's) for VBS leaders and helpers Entering Kindergarten Entering 1st Entering 2nd Entering 3rd Entering 4th Entering 5th Entering 6th

Allergies, Medical and/or Special Needs

Parent Information

Parent/Guardian Name

This address will receive a confirmation email

Phone

Address

Emergency Contact Name

Emergency Contact Phone Number

Authorized Pick Up #1

Authorized Pick Up #2

Do you attend church

Please select all that apply.

Yes No

If so, where?

May we have permission to photograph your child

Please select all that apply.

Yes No

May we have permission to use your childs photograph in church publications

Please select all that apply.

Yes No

Comments

Description

July 13-16

Please fill out this form and click submit.

VBS is for children entering Kindergarten through entering 6th grade.

2026 VBS Registration

Description

Please Fix the Following