fbcKIDS VBS - Illumination Station! Participant Registration - June 22-26, 9am-12pm

June 22-26, 2026 | Please fill out this form and click submit.

Thank you for choosing FBCKids VBS '26 for your child. Our team is very excited to get to know your child and spend the week with them! Would you please answer the following to complete your child's registration?

Child's Name

Grade Completed

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th

Parent/Guardian Name

Parent/Guardian Mobile Phone

This address will receive a confirmation email

Address

If someone other than the parent is picking up, what is the authorized person's name?

NOTE: the authorized pickup person must have the above mobile number that is associated with this child at check in.

Authorized Pickup Mobile Phone

Would you like a VBS t-shirt? If yes, please indicate size.

Please select one option.

Youth X-small Youth - small Youth - medium Youth - large adult - small adult - medium adult - large adult -xlarge

Does Your child have any allergies of which we need to be aware? If so, please provide ALL the important information:

Do you regularly attend church?(at least 2 times a month?)

Please select one option.

Yes No

If yes, where do you attend?

If no, may we connect with you about a visit to FBC?

Please select one option.

yes no

May images of your child be used in promotional material associated with FBC?

Please select one option.

Yes No

Electronic Signature

By entering my name in the box above, I am providing my digital signature on this form.

Description

June 22-26, 2026

Please fill out this form and click submit.

fbcKIDS VBS - Illumination Station! Participant Registration - June 22-26, 9am-12pm

Description

Please Fix the Following