VBS 2026 Registration Form

One form per child

Child's Name:

Child's Gender:

Child's Age: (as of June 7, 2026)

Date of Birth: (mm/dd/yyyy)

Last School Grade Completed:

Food Allergies:

Medical Conditions or Special Needs:

Child's T-shirt Size:

Youth XSmall Youth Small Youth Medium Youth Large Youth XLarge

Parent/Caregiver's Name: (First and Last)

Parent/Caregiver's Phone Number: (XXX-XXX-XXXX)

Address:

Email Address:

This address will receive a confirmation email

Emergency Contact Name:

Emergency Contact Phone:

Emergency Contact Relationship to Child:

Description

VBS is offered for 3 year old's (potty trained) to 5th grade! Please fill out one form per child and click submit.

VBS DATES:
Sun, June 7 - 5:30 - 8:30 (Dinner provided for families as well as an adult bible class after dinner)
Mon, June 8 - 5:30 pm - 8:30 pm (Light dinner provided for VBS kids)
Tue, June 9 - 5:30 pm - 8:30 pm (Light dinner provided for VBS kids)
Wed, June 10 - 5:30 pm - 8:30 pm (Light dinner provided for VBS kids)

If you have any questions or if you would like to volunteer for VBS this summer please contact Rachel Wollard at 502-380-6745!

VBS 2026 Registration Form

Description

Please Fix the Following