VBS Registration Form 2025
Please fill out this form to complete the VBS waiver.
Child’s Name
*
First Name
Last Name
Child’s Age
*
Grade Completed
*
Gender
*
Female
Male
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Please list any allergies or medical conditions
*
Who can pick up your child from VBS?
*
I consent to my child's participation in the VBS program.
*
Yes
No
I give permission for my child’s photo to be taken and used on social media by the church in connection with Vacation Bible School (VBS). I understand that photos will only be shared to highlight VBS activities or to promote the VBS program.
*
Yes
No
I authorize the VBS staff to seek emergency medical treatment for my child if necessary.
*
Yes
No
By typing my name below, I agree to release and hold harmless the VBS program, staff, and volunteers from any claims or liability arising from my child's participation.
*
Submit
Should be Empty: