VBS Registration

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Vacation Bible School 2026

📅 July 20 - 24

⏰ 6:00 PM - 8:30 PM

📍 352 Oakvale Ave Rosedale, VA 24280

🎉 Free

Parent

Children

Emergency

Waiver

Review

👨‍👩‍👧‍👦 Parent/Guardian

Tell us who to contact for updates.

Parent First Name *

Parent Last Name *

Parent Email *

We'll send VBS updates and confirmation to this email

Parent Phone *

For important VBS communications only

🎈 Children

Add each child who will attend VBS.

🎈 Child #1

Child Name *

Birthdate *

Used to determine appropriate age group

Age *

Ages 2-18 are eligible

Completed Grade *

Grade your child just completed

Gender *

T-shirt Size (Optional)

Allergies/Medication (Optional)

This helps us keep your child safe and comfortable

Medical Conditions (e.g., Asthma, Diabetes) (Optional)

Special Needs or Accommodations (Optional)

Any special accommodations needed for your child

🚨 Emergency Contact

Who should we contact in an emergency?

Emergency Contact Name *

Emergency Contact Phone *

Emergency contact number (different from parent)

Relationship to Child *

📝 Permissions & Waiver

Please review and accept the following for each child.

Complete the Children step to see waivers.

🎯 Review & Submit

Almost done!

📋 Registration Summary

Complete prior steps to see a summary.

🎉

Free Registration

Submit your information and you're all set!