VBS 2025 - SIGN UP FORM

July 27th through July 31st (5:30pm to 8:30pm)

Please fill out the form below to register your child for VBS. All fields with an asterisk are required.

Child's Name

First Name

Last Name

Child's Age

Last Grade Completed

Not upcoming school year

Parent/Guardian Name

First Name

Last Name

Address

Home address and mailing address (if different)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone Number

Work Phone Number

Cell Phone Number

Medical Information

Medical or other information we need to know. (Please include any food allergies)

Emergency Contact #1 Name

First Name

Last Name

Emergency Contact #1 Phone Number

Emergency Contact #2 Name

First Name

Last Name

Emergency Contact #2 Phone Number

Dismissal Information

Who may pick up your child at the end of each VBS day?

Does your child attend Sunday School? If so, where?

If your child is visiting our church, who is he a guest of?

May we have permission to photograph your child?

Select Yes or No in the dropdown box.

May we have permission to use your child's photograph for the purpose of promotion?

Select Yes or No in the dropdown box.