VBS Registration Form

Cross Church VBS Registration Form, 814 N. Bauer St., Fellowship Hall - Every Sunday July 13 - August 10 from 8:45 am - 11:30 am for ages 4 -11

* Indicates required field

Child's Name (One Form Per Child) *

First

Last

Child's Date of Birth (M/D/YYYY) *

Child's Age as of July 13, 2025 *

Grade Child will Enter in Summer/Fall 2025 *

Parent/Guardian Name(s): *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Secondary Phone Number *

Email *

Emergency Contact Name *

Emergency Contact Phone Number *

How Did You Hear About VBS? *

Home Church *

Allergies or Medical Concerns *

Yes, You May Use My Child's Picture in Cross Church's Publications (ex. The Call, Facebook, etc.) *

No, You May Not Use My Child's Picture in Cross Church's Publications (ex. The Call, Facebook, etc.) *

Parent / Guardian Signature *

Date *

CROSS CHURCH ACKNOWLEDGEMENT OF RESPONSIBILITY AND PERMISSION FOR CHILD PARTICIPATION IN VACATION BIBLE SCHOOL *

PLEASE SIGN YOUR FULL NAME IN THE SPACE BELOW TO AGREE TO THE ABOVE STATEMENT *

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