VBS 2026 REGISTRATION FORM

JULY 12-15. 6-8:30PM | ILLUMINATION STATION - Shining a Light on who JESUS really is!
July 12 - 15
Register today all children going in to K5 - 8th grade!

Name

*

GRADE ENTERING IN FALL 2026

*

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

Birthdate

*

Gender

*

Please select one option.

MALE FEMALE

Parent Name

*

Parent's Phone

*

Parent Email

*

This address will receive a confirmation email

Address

*

Church Home:

*

Dismissal Information(who may pick up your child at the end of VBS each night?)

*

Emergency Contact (other than parent listed above)

*

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

*

PERMISSION TO PHOTOGRAPH/VIDEOTAPE

*

Please select one option.

YES NO

Description

JULY 12-15. 6-8:30PM

ILLUMINATION STATION - Shining a Light on who JESUS really is!
July 12 - 15
Register today all children going in to K5 - 8th grade!

Please Fix the Following

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