VBS Registration
This form is the official registration form for The Intersection Church's Vacation Bible School.
VBS is for children entering Kindergarten - 4th grade for the 2024-2025 school year.

When Life's a Mess VBS July 15-18
Time 6:30-8:00pm Doors open at 6:00pm

This is a MESSY outdoors VBS. Be prepared to get messy and/or wet. Bring a towel. 
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Email *
Name: Father (First & Last) *
Please provide the first and last name of both parents if applicable. This is to help with drop-off, pick-up and in the case of an emergency.
Name: Mother (First & Last) *
Please provide the first and last name of both parents if applicable. This is to help with drop-off, pick-up and in the case of an emergency.
Father's Phone Number *
Mother's Phone Number *
Names, Birthday, and School Grades of children that will be attending VBS. *
Example: Jon Example, 05/01/2018, 2nd grade, Susie Example, 7/12/2014, 4th grade, (etc.)
Known Allergies *
Include name and know allergies for all children. If this does not apply to you, please type N/A in the text box.
Current Medications *
List any medications that your child is currently taking. If this does not apply to you, please type N/A in the text box.
Authorized individuals to pick-up children. *
Provide all names (first and last) of any individual you authorize to pick up your children from VBS at the end of each night. If this does not apply to you, please type N/A in the text box.
Is there anything you think we need to know about your child/children to help them have the very best experience possible during our VBS week?
Permission to use photos *
Required
A copy of your responses will be emailed to the address you provided.
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