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VBS 2026 God's Backyard

How many students do you have?


Student 1

First Name

Last Name

Gender

Gender

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?

Any dietary restrictions?

Any dietary restrictions?

Has the student attended VBS in the past?

Has the student attended VBS in the past?

How did you hear about us?

How did you hear about us?

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

Untitled checkboxes field
Untitled checkboxes field

Printed Name

Date Signed

Signature

Signature

Payment Method

Payment Method

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