Vacation Bible School

📅 June 16 - 19, 2026

⏰ 9:00am - 12 noon

Parent

Children

Emergency

Review

👨‍👩‍👧‍👦 Parent/Guardian

Tell us who to contact for updates.

Parent First Name *

Parent Last Name *

Parent Email *

We'll send VBS updates and confirmation to this email

Parent Phone *

For important VBS communications only

Add each child who will attend VBS.

Child Name *

Birthdate *

Used to determine appropriate age group

Age *

Ages 3-11 are eligible

Completed Grade *

Grade your child just completed

Gender *

T-shirt Size (Optional)

Allergies/Medication (Optional)

This helps us keep your child safe and comfortable

Medical Conditions (e.g., Asthma, Diabetes) (Optional)

Special Needs or Accommodations (Optional)

Any special accommodations needed for your child

Days Child Will Be Absent (Optional)

Notes (leader only) (Optional)

Who should we contact in an emergency?

Emergency Contact Name *

Emergency Contact Phone *

Emergency contact number (different from parent)

Relationship to Child *

Almost done!

Complete prior steps to see a summary.

Fee per child $25.00

Children 1

Total $25.00

💡 After submitting, you'll be taken to a Pay Now button to complete payment.