2026 VBS

Parent/Guardian Information

Parent/Guardian Name

This address will receive a confirmation email

Phone

Address

Children's Information

Please be sure to include all information for each child to help in placing them in the correct class. This includes the grade most recently completed, birthdate, and allergies we need to be aware of.

Child 1 Name (first and last)

Child 1 Birthdate

Child 1 Allergies

Child 2 Name (first and last)

Child 2 Birthdate

Child 2 Allergies

Child 3 Name (first and last)

Child 3 Birthdate

Child 3 Allergies

Child 4 Name (first and last)

Child 4 Birthdate

Child 4 Allergies

Child 5 Name (first and last)

Child 5 Birthdate

Child 5 Allergies

Child 6 Name (first and last)

Child 6 Birthdate

Child 6 Allergies

Child 7 Name (first and last)

Child 7 Birthdate

Child 7 Allergies

Alternate Emergency Contact Name

Alternate emergency contact phone number

Special Considerations

Please use the space below to share with us any special considerations for children you registered. This can include if they are not potty trained, sensory concerns, etc.

Please list the name of the child with the considerations if you have registered multiple children above.

Special Considerations

By allowing my child(ren) to attend Illumination Station VBS at Bellview Baptist Church I consent to their images being taken (photo, video, etc.) and used by Bellview Baptist Church on it's website, social media pages, in services, etc.

Yes

Description

Please complete the form below to register your child for Illumination Station VBS at Bellview Baptist Church. If you need to register additional children, please complete another form with those children's information.

Please be sure to answer all questions about each child to ensure they are placed in the correct class and provide any special considerations for the child(ren) in the space at the end of the form to help us meet those needs.

2026 VBS

Description

Please Fix the Following