2026 VBS Teens Registration
Please fill out this form and click submit.
NAME
*
ADDRESS
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
EMAIL
*
This address will receive a confirmation email
PHONE (cell phone)
*
AGE
*
DATE OF BIRTH (mm/dd/yyyy)
*
What grade did you just complete for 25-26 school year?
*
Please select one option.
7th
8th
9th
10th
11th
12th
Graduated
Select Option
7th
8th
9th
10th
11th
12th
Graduated
What is your Child's t-shirt size?
*
Please select one option.
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XLarge
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Select Option
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XLarge
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
MEDICAL INFORMATION (Including any food allergies)
*
EMERGENCY CONTACTS
Please provide any additional names and conatacts in the case of and emergency.
FIRST NAME
*
LAST NAME
*
PHONE (cell phone)
*
OTHER INFORMATION
Please provide additional information
May we have permission to photograph your child?
*
Please select one option.
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Please select one option.
Yes
No
Do you attend Sunday School? if so where?
If you are visiting our church, who are you a guest of?
Electronic Signature (Please type your full name)
*
Registration Fee
$10
** By entering my name in the box above, I am providing my digital signature on this Form. **
Continue to Payment Page
Description
Please fill out this form and click submit.
×
Please Fix the Following