Vacation Bible SchoolJune 5th - 7th Register Today! Child's Name * First Name Last Name Child's Age * Last Grade Completed by Child * Preschool Kindergarten 1st 2nd 3rd 4th 5th Allergies/Medical Conditions (including food allergies) * Please enter any allergies or other medical conditions below. Does your child require any other accommodations? If yes, please describe the accommodations needed. Parent/Guardian Name * First Name Last Name Phone Number * (###) ### #### Email Street Address * City * State * Zip Code * Emergency Contact Name * First Name Last Name Relationship to Child * Emergency Contact Number * (###) ### #### Would you like to receive our Church's weekly email for upcoming events? * Yes No/Already signed up for weekly emails Terms of Liability & Agreement * By checking this box and typing my name below, I acknowledge that I am the legal parent/guardian of the previously named child. I also certify that I am at least 18 years of age, and I agree to allow my child to attend and participate in all BBC-VBS activities from June 5th through June 7th, 2025. Media Consent Do you give consent for BBC to use photos and/or videos of your child in publications by the church? Yes, I give consent. No, I do not give consent. Parent/Guardian Signature * By typing your name in this box, you agree to allow your child to attend VBS at the Berean Bible Church. You certify that you are at least 18 years of age and the legal parent/guardian of the child listed at the top of this form. Thank you! We look forward to seeing your child at VBS!
