Event Registration Form

This form can be adjusted to fit your specific VBS or other event registration requirements.

Vacation Bible School Registration Example

Parents, please fill out this form to register your child (or children) for Vacation Bible School.

"*" indicates required fields

VBS Attendees

How many of your children will be attending?*

One

Two

Three

Four

Name of Child #1*

First Last

Birthday of Child #1*

Age of Child #1*

Grade (Fall of 2022): Child #1*

Name of Child #2*

First Last

Birthday of Child #2*

Age of Child #2*

Grade (Fall of 2022): Child #2*

Name of Child #3*

First Last

Birthday of Child #3*

Age of Child #3*

Grade (Fall of 2022): Child #3*

Name of Child #4*

First Last

Birthday of Child #4*

Age of Child #4*

Grade (Fall of 2022): Child #4*

Child allergies:

How many adults do you authorize to pickup your child(ren) from VBS*

No one besides myself

One

Two

Three

Name of first person authorized to pickup your child(ren)*

First Last

Phone # of first person authorized to pickup your child(ren)*

Name of second person authorized to pickup your child(ren)*

First Last

Phone # of second person authorized to pickup your child(ren)*

Do you have any questions or comments for our VBS team?

Personal Information

Name*

First Last

Email*

Enter Email Confirm Email

Address*

Street Address City State ZIP Code

Emergency Phone Number*

If you attend church, where do you attend?

How did you hear about Vacation Bible School?