This form can be adjusted to fit your specific VBS or other event registration requirementsVacation Bible School Registration ExampleParents, please fill out this form to register your child (or children) for Vacation Bible School.VBS AttendeesHow many of your children will be attending?* One Two Three FourName of Child #1* First Last Birthday of Child #1* Month Day YearAge of Child #1*456789101112Grade (Fall of 2022): Child #1*Pre-KK1st2nd3rd4th5thName of Child #2* First Last Birthday of Child #2* Month Day YearAge of Child #2*456789101112Grade (Fall of 2022): Child #2*Pre-KK1st2nd3rd4th5thName of Child #3* First Last Birthday of Child #3* Month Day YearAge of Child #3*456789101112Grade (Fall of 2022): Child #3*Pre-KK1st2nd3rd4th5thName of Child #4* First Last Birthday of Child #4* Month Day YearAge of Child #4*456789101112Grade (Fall of 2022): Child #4*Pre-KK1st2nd3rd4th5thChild allergies:How many adults do you authorize to pickup your child(ren) from VBS* No one besides myself One Two ThreeName 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 InformationName* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Phone Number*If you attend church, where do you attend?How did you hear about Vacation Bible School?What is your email address? Enter Email Confirm Email