Vacation Bible School

2026 Details – TBD

Fill out form below to register your child for this exciting adventure.

Note: Fields with an asterisk (*) are required.

Phone

This field is for validation purposes and should be left unchanged.

Child's Name*

First Last

Child's Gender

Child's Age*

Date of Birth*

Last School Grade Completed*

Parent's Name*

First Last

Street Address*

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

Home Phone Number*

Parent/Caregiver Cellphone Number*

Home Email Address

Home Church Name

Allergies, Medical Conditions, or special needs*

Emergency Contact Name*

First Last

Emergency Contact Phone Number*

Emergency Contact Relationship to child*

Contact Information:

VBS Director, Amanda Dady, 505-918-5951