2026 VBS Registration

Parent/Guardian Information

Parent/Guardian #1-Name

Parent/Guardian #1-Email

This address will receive a confirmation email

Parent/Guardian #1 -Phone Number(xxx-xxx-xxxx)

Parent/Guardian #1-Address

Relationship to Student

Home Church

Parent/Guardian #2-First Name (Optional)

Parent/Guardian #2-Last Name (Optional)

Parent/Guardian #2-Email (Optional)

Parent/Guardian #2-Phone Number (xxx-xxx-xxxx)(Optional)

Relationship to Student (Optional)

Parent/Guardian #2- Address (Optional)

Home Church

If Parent/Guardian #2 is also able to pick up student, please make sure we have all their information.

Emergency Contact

First Name

Last Name

Phone Number (xxx-xxx-xxxx)

Student Information- All Students must be Potty Trained and 3 years old the first day of VBS

Student

First Name

Last Name

T-Shirt Size ( We are using the Gildan brand and they tend to run a little snug so if in doubt we recommend sizing up.?

Y-XS-(4/5) Y-S (6/8) Y-M (10/12) Y-L (14/16) Y-XL (18/20) A-S A-M A-L

Gender

Boy Girl

Date of Birth (00/00/0000)

Grade Completed

Food Allergies

None Peanuts Gluten Dairy Egg Red Dye Other

If selected "Other" on Food Allergies, please list:

Any Medical/Behavorial Concerns we should know about:

Authorized Person to pick up if not Parent/Guardian

If you have different people picking up the student throughout the week, please make sure to list their information separately. If more than 2 use the last text box to add their information.

First Name

Last Name

Phone Number (xxx-xxx-xxxx)

Relationship to Student

First Name

Last Name

Phone Number (xxx-xxx-xxxx)

Relationship to Student

List additional individuals authorized to pick up the student if more than 2 in addition to the Parent/Guardian 1&2

Description

Thank you for providing us with this information! It helps us serve your family better, and we’re excited to see you at VBS this year. Please note, we are using one form per student this year. We apologize for any inconvenience and appreciate your understanding.

2026 VBS Registration

Description

Please Fix the Following