ELEMENTARY VBS REGISTRATION 2026

Please fill out this form and click submit.

Child's Information

Please fill out a separate form for each ELEMENTARY child that you want to register.

If you or any of your youth children are willing to become a VBS volunteer, then we will waive the fee for your child. Please also fill out the volunteer form on the VBS landing page first before registering your child. This lets us know that you qualify for the discount.

Scholarships are available to those who need them. Please check this option when completing the payment area.

Child's First Name

Child's Last Name

Child's Gender

Please select one option.

Male Female

Child's Date of Birth

Age of Child as of June 16, 2026

Please select one option.

5 6 7 8 9 10 11

Child's Grade in Fall 2026

Please select one option.

1st 2nd 3rd 4th 5th

Attending with a friend or family member you want to be paired with? Enter their name so we can match you up!

Parent / Guardian Information

Name

This address will receive a confirmation email

Address

Primary Valid Phone

Parent 1 Mobile Phone

Parent 2 Mobile Phone

Other Important Details

Child's Allergies, Food Intolerances, or Other Medical Conditions

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship to Child

Doctor's Name

Doctor's Phone

During Vacation Bible School, we will be taking pictures of the children so that we can celebrate each day with photos of their activities, and so that those photos can be shared with family members. These photos will also be used for possible in-house publication in the church, the photos will NOT be used for any advertising purposes.

As the parent or guardian of the child, do you authorize the photography of your child?

Please select one option.

Yes No

Payment

Pay Now by Credit / Debit Card ($40.00) I intend to volunteer for VBS so my fee is waived ($0) I would like a scholarship, my fee is waived ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

ELEMENTARY VBS REGISTRATION 2026

Description

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