2025 Registration for Vacation Bible School
Parent/Guardian Name *
Street Address
City - State - Zip Code
Phone # *

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Email Address *
Willing to help at VBS?
 YES, I'm willing to volunteer. 
Church Affiliation

Emergency Contact Information

Emergency Contact *
Phone # *

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Youth Attending VBS

This section is for listing the youth participating in this year's VBS as student.
NAME #1 *
Date of Birth *

MM		/
DD		/
YYYY
Child's Current Age *
Grade entering fall
of 2025 *
Food Allergies or Medical Concerns
NAME #2
Date of Birth

MM		/
DD		/
YYYY
Child's Current Age
Grade entering fall
of 2025
Food Allergies or Medical Concerns
NAME #3
Date of Birth

MM		/
DD		/
YYYY
Child's Current Age
Grade entering fall
of 2025
Food Allergies or Medical Concerns
NAME #4
Date of Birth

MM		/
DD		/
YYYY
Child's Current Age
Grade entering fall
of 2025
Food Allergies or Medical Concerns

Interested in being a Crew Leader

For youth entering 7th grade and older who would like to help at VBS
NAME #1
Grade in School
Volunteer Status
(please indicate whether new or returning)
NAME #2
Grade in School
Volunteer Status
(please indicate whether new or returning)

Authorizations

Authorization to use photos *
 Yes, I give permission for the VBS staff to photograph/record my child and to possibly use it in our daily VBS slide show, Facebook Page and/or on the Saint John TV channel 
 No, please do not use photos taken of my child/children. 
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