VBS 2026 Registration
Please fill out this form and click submit.
Child's Name
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Age
*
Last Grade Completed
*
Please select one option.
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Known Allergies
*
Child #2
Address (if different)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Age
Last Grade Completed
Please select one option.
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Known Allergies
Child #3
Address (if different)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Age
Last Grade Completed
Please select one option.
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Known Allergies
Child #4
Address (if different)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Age
Last Grade Completed
Please select one option.
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Pre-K
kindergarten
1st
2nd
3rd
4th
5th
6th
Name of Parent or Legal Guardian
*
Email
*
This address will receive a confirmation email
Phone
*
Address (if different from child)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Do you regularly attend church
*
Please select one option.
Yes
No
No, but I'd like to know more about The Cross Baptist Church
If yes, where?
Emergency Contact
*
Relationship to Child
*
Phone Number
*
Do we have permission to use your child's image in public church marketing materials (social media posts, print materials, etc)
*
Please select one option.
Yes
Option
I understand that I must sign and return the liability form to complete registration (available at www.thecrossbaptist.org/vbs_
*
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