2026 VBS Registration-Ride the Wave: Trusting Jesus No Matter What, June 8-11, 6:15-8:00 pm
Please fill out this form and click submit. You may also register at the door.
Parent Name:
*
Email
*
This address will receive a confirmation email
Phone (xxx-xxx-xxxx) Please provide number that we could reach you at during VBS
*
Address
*
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Child #1 Name (First and Last)
*
Child #1 Grade (for 2026-2027 school year)
*
Please select one option.
Age 4
PreK/Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does Child #1 have allergies?
*
Please select one option.
No
Yes, I'll explain
Child #2 Name (First and Last)
Child #2 Grade (for 2026-2027 school year)
Please select one option.
Age 4
PreK/Kindergarten
1stGrade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does Child #2 have allergies?
Please select one option.
No
Yes, I'll explain.
Child #3 Name (First and Last)
Child #3 Grade (for 2026-2027 school year)
Please select one option.
Age 4
PreK/Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does Child #3 have allergies?
Please select one option.
No
Yes, I'll explain.
Child #4 Name (First and Last)
Child #4 Grade (for 2026-2027 school year)
Please select one option.
Age 4
PreK/Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Does Child #4 have allergies?
Please select one option.
No
Yes, I'll explain.
How many will attend the Picnic on June 11?
*
Please select one option.
0, we are unable to attend.
1
2
3
4
5
6
Do you attend a church?
*
Please select one option.
No
Yes
Name of Church:
If you do not have a Bible in your home, would you like one?
Please select all that apply.
Yes, please!
No, thank you.
Submit
Description
Please fill out this form and click submit. You may also register at the door.
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