VBS Registration

July 20- 25 (6pm - 8:30pm) | Please fill out one form for each person attending VBS 2025 at Kirby Baptist Church.

*July 20th - 25th* Grades Pre-K through Sixth, Teens & Adults you're invited! Join us for a fellowship meal at 5:00 pm and then VBS from 6:00 to 8:30pm. For those attending please fill out the information below per person. Thank you!

Child/Attendee Information

Name

Birthdate

Last Grade Completed

Please select one option.

Pre-K Kinder 1st 2nd 3rd 4th 5th 6th

Address

Home Church (if any):

Please list all allergies and any medical information relevant to child's time at VBS:

Parent/Guardian's Information

Full Name:

Address, if Different from Childs:

Phone

This address will receive a confirmation email

Emergency Contact

1st Contact Name/Phone Number

2nd Contact Name/Phone Number

Dismissal Information

Name(s) of person(s) who are authorized to pick up this child from VBS:

Do you/child(ren) need a ride on our church bus?

Please select one option.

Yes (Pickup & Drop-off) No Pickup ONLY Drop-off ONLY

Please list everyone who will need a ride along with any further information.

May we photograph/video your child for publicity (no names will be used)?

Please select all that apply.

Yes No

If you would like information to purchase a shirt check yes.

Please select all that apply.

yes no

Description

July 20- 25 (6pm - 8:30pm)

Please fill out one form for each person attending VBS 2025 at Kirby Baptist Church.

VBS Registration

Description

Please Fix the Following