PAUL & THE UNDERGROUND CHURCH VBS 2026 CHILD REGISTRATION FORM

Please fill out this form and click submit.

Date: Sunday, May 31st thru Wednesday, June 3rd
Time: 6:30-8:30pm
Ages / Grades: 4-12 years old / Pre K-5th grade

If you are registering more than one child, please fill out one form per child.

Child Information

Name of Child

*

Address

*

Gender

*

Please select one option.

Male Female

Birthdate

*

Grade - Just Completed

*

Please select one option.

Pre-K/Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Allergies/Health Conditions

Parent/Guardian Information

Parent/Guardian Name(s)

Parent/Guardian Contact Number

*

Any Other Important Information

Transportation Need (If Applicable)

Currently our routes travel a distance of 5 miles from our church property. If you live within that range and would like to request a ride, please complete the information below.

Transportation Need - Please Check All That Apply

Please select all that apply.

Picked Up Each Evening Taken Home Each Evening Need Assistance On Specific Day(s)

Please List Specific Days That You Will Need Assistance And If You Will Need Pick Up And/Or Drop Off

What Is The Best Method To Send You Paperwork To Complete Per Rider

Please select all that apply.

Text A Link Email The Forms Set Up A Time For You To Come To VBC To Complete The Form

Information About The Person Completing This Form

Your Name And Relation

*

Contact #

*

Email

This address will receive a confirmation email

Description

Please fill out this form and click submit.

Please Fix the Following

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