2026 Vacation Bible School Registration

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Student Name

*

Parent/ Guardian Name

Email

This address will receive a confirmation email

Phone

*

Emergency Contact Name (if different from above)

Emergency Contact Phone Number (if different from above)

Address

Need Transportation

*

Please select one option.

Yes No

VBS Class Selection (for children, select their 24/25 grade)

*

Please select one option.

Preschool (Age 2-4) KK & 1st 2nd and 3rd 4th thru 6th 7th and 8th 9th thru 12th Young Adults (19-25) Adult Men Adult Women

Age

*

Please select one option.

Ages 2-4 Ages 5-7 Ages 8-9 Ages 10-12 Ages 13-14 Ages 15-18 Ages 19-25 Ages 26-45 46 and older

Date of Birth (children only)

Are you a Christian?

*

Please select one option.

Yes No Unsure

Are you a member of a church?

*

Please select one option.

Yes No N/A

If yes, what church are you a member of?

Please list any allergies

Comments:

Description

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