2026 VBS Registration Form

June 29 – July 3, 2026

Registration Form

Thank you for your response. ✨

Thank you for registering you child for Immanuel’s Vacation Bible School. We cannot wait to have your child join us. If we have any questions, we will reach out to you. If not, we will see you on June 23!

Child’s Name

Address

Date of birth (YYYY-MM-DD)

Grade just completed

Name of Siblings Attending VBS

Mother’s Name

Mother’s Phone Number

Mother’s Email

Father’s Name

Father’s Phone Number

Father’s Email

Emergency Contact

Relationship to child

Best Phone for Emergency Contact

Food Allergies

Medical Allergies or Conditions

People who may pick up the child

I permit my child’s name and food allergy to be posted for VBS staff to see.

Choose one

Yes No N/A

VBS leaders have permission to photograph/film the minor designated above in any manner or form for any lawful purpose associated with this VBS program.

Choose one

Yes No

By submitting this form, I agree that my child has my permission to attend and participate in the Tropical Trek VBS program,
June 29-July 3, 2026.

Thank you for your response. ✨

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