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

Parent/Guardian Name

*

Email

This address will receive a confirmation email

Phone

*

Address

*

Last Grade Completed

*

Please select one 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

Description

July 7 - 11 | 8:30-12:15

VBS @ Crossroads is for children who have completed PreK through 6th grade.

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