Vacation Bible School Registration Form

One form per family – use additional forms for relatives or friends
Ages 4 through entering 6th grade in the fall are welcome!

Register Now!

Child's Name

Grade Entering in the Fall

Age

Shirt Size

Male or Female

ALL Food Allergies or Other Medical Information

Child's Name

Grade Entering in the Fall

Age

Shirt Size

Male or Female

ALL Food Allergies or Other Medical Information

Child's Name

Grade Entering in the Fall

Age

Shirt Size

Male or Female

ALL Food Allergies or Other Medical Information

Child's Name

Grade Entering in the Fall

Age

Shirt Size

Male or Female

ALL Food Allergies or Other Medical Information

Child's Name

Grade Entering in the Fall

Age

Shirt Size

Male or Female

ALL Food Allergies or Other Medical Information

Parent/Guardian Name

First Last

Address

Street Address City State ZIP Code

Cell Phone

Home Phone

Work Phone

Emergency Contact #1 Name/Relationship

Emergency Contact #1 Phone

Emergency Contact #2 Name/Relationship

Emergency Contact #2 Phone

Who may pick up your child at the end of each day? (Only the individuals listed here will be allowed to leave with the child.)

Parent Signature

Date

This field is for validation purposes and should be left unchanged.

To assist in easy registration, please submit the form by July 9, 2025.

Vacation Bible School Registration Form

One form per family – use additional forms for relatives or friends Ages 4 through entering 6th grade in the fall are welcome!

Register Now!

One form per family – use additional forms for relatives or friends
Ages 4 through entering 6th grade in the fall are welcome!