VBS 2026 Pre-Registration

Make plans to join us for VBS! It will be from 6:30-8:30 each night. We will have a meal on Sunday evening at 5:30 PM and an ice cream social on Wednesday night after VBS.

Name

*

Email

*

This address will receive a confirmation email

Address

Emergency Contact Number for Children

*

Please select what all you plan to attend.

*

Please select all that apply.

Sunday Night VBS Monday Night VBS Tuesday Night VBS Wednesday Night VBS Wednesday Night Ice Cream Social

Child 1

Name

*

Grade (This is the grade your child will be going INTO in August.)

*

Please select one option.

Nursery 2 year old 3 year old 4 year old 5 year old Kindergarten 1st 2nd 3rd 4th 5th Youth Group (6th-12th Grade)

Does this child have allergies?

*

Please select one option.

Yes No

If yes, please share the allergy and treatment plan for your child.

Child 2

Name

Grade (This is the grade your child will be going INTO in August.)

Please select one option.

Nursery 2 year old 3 year old 4 year old 5 year old Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Youth Group (6th - 12th Grade)

Does this child have allergies?

Please select one option.

Yes No

If yes, please share the allergy and treatment plan for your child.

Child 3

Name

Grade (This is the grade your child will be going INTO in August.)

Please select one option.

Nursery 2 year old 3 year old 4 year old 5 year old Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Youth Group (6th - 12th Grade)

Does this child have allergies?

Please select one option.

Yes No

If yes, please share the allergy and the treatment plan for your child.

Child 4

Name

Grade (This is the grade your child will be going INTO in August.)

Please select one option.

Nursery 2 year old 3 year old 4 year old 5 year old Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Youth Group (6th - 12th Grade)

Does this child have allergies?

Please select one option.

Yes No

If yes, please share the allergy and treatment plan for your child.

Child 5

Name

Grade (This is the grade your child will be going INTO in August.)

Please select one option.

Nursery 2 year old 3 year old 4 year old 5 year old Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Youth Group (6th-12th Grade)

Does this child have allergies?

Please select one option.

Yes No

If yes, please share the allergy and the treatment plan for your child.

Description

Make plans to join us for VBS! It will be from 6:30-8:30 each night. We will have a meal on Sunday evening at 5:30 PM and an ice cream social on Wednesday night after VBS.

Please Fix the Following

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