Emerald Crossing VBS

Child's Information

Child's Name

Child's Gender

Male Female

Child's Birthdate

Child's Last Grade Completed

Child's Address

Parent/Guardian Information

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

This address will receive a confirmation email

Emergency Contact Information (If different than Parent/Guardian)

Emergency Contact Name

Emergency Contact Relationship to Child

Emergency Contact Phone Number

Almost Done!

Who can pick up your child?

What is the name of your home church?

Food allergies? Please list.

Medical concerns? Please list.

How did you hear about us?

Description

August 3 - August 7, 2026 / 6:00-8:30 P.M. Ages 6-16

Thank you for your interest in Bible Baptist Church VBS! Please fill out one registration form per child. Thank you, and God bless!