VBS Registration 2026

June 22 to June 25, 5:30 PM - 8:00 PM | Please fill out this form and click submit.

Child's name

*

Parent/Guardian name(s)

*

Parent/Guardian phone

*

Home email

*

This address will receive a confirmation email

Child's age & grade (for upcoming school year)

*

Address

Home church

Allergies, medical conditions, or special needs:

Additional emergency contact (parent/guardian will be contacted first in case of an emergency):

*

Emergency contact phone

*

Emergency contact relationship to child

*

Is there another student your child should NOT be paired with? Is there another student (1) that your child WANTS to be paired with? Put this information here. We will try our best when making groups.

Do you want a t-shirt? (not required - $10) If so, what size?

Please select one option.

Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

Payment

Without t-shirt (Pay Online Now ($10) With t-shirt (Pay Online Now) ($20) Without t-shirt (Plan to Pay in Person (0.00) With t-shirt (Plan to Pay in Person) (0.00) Already Paid in Person (0.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 22 to June 25, 5:30 PM - 8:00 PM

Please fill out this form and click submit.

Please Fix the Following

Close