Vacation Bible School, 2025June 23-27, 2025 * For rising K- 5th gradersRegister now… It’s FREE!Online Registration Form Click here to open a pdf version you can print and fill out by hand. Please fill out a complete form for each child. Child's Name * First Name Last Name Child's Age as of 6/16/2025 * Child's Birth Date MM DD YYYY Grade Entering in Fall 2025 * Parent/Guardian Name * First Name Last Name Parent/Guardian #2, if applicable First Name Last Name Mobile Phone #1 * (###) ### #### Mobile Phone #2 (###) ### #### Home Phone (###) ### #### Work Phone (###) ### #### Email * Emergency Contact #1 * First Name Last Name Phone for Emergency Contact #1 * (###) ### #### Emergency Contact #2 First Name Last Name Phone for Emergency Contact #2 (###) ### #### Doctor * First Name Last Name Doctor's Phone * (###) ### #### Allergies or Special Needs May we use your child's anonymous image for communications and social media? * Yes No A friend you'd like to have your child grouped with (the friend's registration should also indicate this preference.) First Name Last Name Family members and friends (18+ years old) are welcome to volunteer at VBS and be part of the fun! List below anyone who is interested, along with their contact information. Who is allowed to pick up your child at the end of their day with us? * First Name Last Name Relation to your child. * Second person allowed to pick up your child. First Name Last Name Relation to your child. Thank you for registering for Vacation Bible School! You can pay now by clicking the Donate button at the top of the page, then select “Give to VBS” in the fund field.We can’t wait to see you this summer!
