VBS 2026 Registration
July 7 - 11 | 8:30-12:15 | VBS @ Crossroads is for children who have completed PreK through 6th grade.
Name
*
Birthdate
*
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Parent/Guardian Name
*
Email
This address will receive a confirmation email
Phone
*
Address
*
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Last Grade Completed
*
Please select one option.
Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Volunteer
Select Option
Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Volunteer
Allergies/Dietary Needs
Emergency Contact Name (1)
*
Emergency Contact Phone (1)
*
Emergency Contact Name (2)
Emergency Contact Phone (2)
Authorized Pickup #1
*
Authorized Pickup #2
Authorized Pickup #3
Authorized Pickup #4
Are you a member of this church?
Please select all that apply.
Yes
No
Guest of
Do you attend church anywhere?
Please select all that apply.
Yes
No
If so, where?
May we have permission to photograph your child and possibly use it in church publications?
*
Please select all that apply.
Yes
No
Comments
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Description
July 7 - 11 | 8:30-12:15
VBS @ Crossroads is for children who have completed PreK through 6th grade.
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