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VBS 2026 God's Backyard

How many students do you have?

*

Student 1

First Name

*

Last Name

*

Gender

*

Gender

Male

Female

Birthday

*

To provide a smooth and successful VBS for all our students and leaders, all students must be at least 5 years old (as of June 8th, 2026) and must be fully potty trained.

Any known allergies?

*

Any known allergies?

Yes

No

Any dietary restrictions?

*

Any dietary restrictions?

Yes

No

Has the student attended VBS in the past?

*

Has the student attended VBS in the past?

Yes

No

How did you hear about us?

*

How did you hear about us?

Google Search

Flyer/Sign

Social Media

Friend/Family

Freedom Church

Other

Notes... (such as health issues or anything we should be aware of)

Primary Contact

First Name

*

Last Name

*

Address

*

City

*

State

*

Zip

*

Phone

*

Email

*

Additional Contact Information (Optional)

Secondary contact(s) in case the above Primary contact is unavailable.

First Name

Last Name

Phone

Relation to Student(s)

First Name

Last Name

Phone

Relation to Student(s)

Waiver and Releast Form

https://freedomchurchwc.com/wp-content/uploads/VBS-Release-Form_Digital.pdf

Untitled checkboxes field

I have read the full waiver and agree to all the terms and conditions.

*

Untitled checkboxes field

I consent that I am signing this form electronically.

*

Printed Name

*

Date Signed

*

Signature

*

Signature

Payment Method

*

Payment Method

Online

Cash

Check

For any questions, email us at: office@freedomchurchwc.com