Breakout - VBS Registration

Cross T-Shirt

* First Name

* Last Name

* Email

* Mobile Phone

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Name of Child

Age

Grade - Incoming School Year (2026)

T-Shirts

Our opening night theme is �Meet Jesus At the Cross�. If interested in making a t-shirt to represent our theme and wear on opening night, the cost is $5.00 to cover the shirt and paint. We will decorate at our VBS Kickoff on Saturday, July 25th. Orders will be taken thru Sunday, July 19th.

Select Color & T-Shirt Size

* Emergency Contact (Name, Relationship, Phone, Address)

* Will you also be registering to participate in the Back-to-School Supply Drive on Sunday, August 2, 2026?

* Please list any medical allergies, chronic illnesses, or other conditions for your child. If none, please state N/A.

* VBS Photo/Video Release: Photographs and/or videos could be taken of your child during our Vacation Bible School activities recognition purposes which includes, but are not limited to, in-house presentations, church website, brochures, and newsletters. By selecting yes, you are granting the church to use photographs and/or videos mentioned with your child.