2026 VBS Participant Registration

Participant Name

Participant Grade starting in August 2026

Kindergarten 1 2 3 4 5 6

Participant School

Parent/Guardian Name

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Address

Emergency Contact 1 Name

Emergency Contact 1 Phone

Emergency Contact 2 Name

Emergency Contact 2 Phone

Participant Allergies

Participant Conditions that could impact their experience at VBS

Does the participant need any medication or medical equipment we should be aware of? (i.e. crutches, Epipen, inhaler, etc.)

Do we have permission to take photos and use photos including your child in marketing, social media posts, church website, etc?

Yes No

Anything else we should be aware of that was not included in this form?

Description

Please fill out this form and click submit.