Vacation Bible School

VACATION BIBLE SCHOOL

for children ages 3 through 6th grade

Monday-Friday-June 16-20 6pm-8:15pm

For more info, please contact Janis Zimmerman, Director of Children & Youth Ministries

To register, please fill out the form below. Thank you!

VBS Registration

Registration form for Vacation Bible School

Child's Name

First Last

Parent/Guardian Name

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone

Secondary Phone

Child's Date of Birth

Child's Age (at time of VBS)

Grade Child Completed

Home Church

Special Needs/Allergies/Medical Information

Emergency Contact Information

Emergency Contact Name

First Last

Emergency Contact Phone

Dismissal Information

Name(s) of Person(s) who may pick up this child from VBS

Is there a parent on-site helping with VBS?

Yes

If yes, where?

Sanctuary Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.(Required)

I allow

I do not allow

VBS - June 16-20

VBS Registration

Emergency Contact Information

Dismissal Information