Vacation Bible School (VBS)

Parent/Guardian Information

Your Full Name (required)

Phone Number (required)

Email Address (required)

Mailing Address

Child Registration

Child 1

Child’s Full Name (required)

Grade Entering (Fall 2025) (required)

Kindergarten1st2nd3rd4th5th6th7th8th

Allergies or Special Needs

Child 2

Child’s Full Name

Grade Entering (Fall 2025)

Kindergarten1st2nd3rd4th5th6th7th8th

Allergies or Special Needs

Child 3

Child’s Full Name

Grade Entering (Fall 2025)

Kindergarten1st2nd3rd4th5th6th7th8th

Allergies or Special Needs

Emergency Contact

Emergency Contact Name (required)

Emergency Contact Phone Number (required)

Authorized Pickup Persons (optional)

226 Kids Club Wheels of Grace Bus

Would you like to request pick-up and drop-off by the 226 Kids Club Wheels of Grace Bus?

YesNo

Pick-up / Drop-off Address

Note: Bus pick-up and drop-off must be within St. Helen town limits.

Media Release Consent

I give permission for photos or video of my child/children to be taken and used for church-related promotions, including social media.

Additional Notes or Questions