Vacation Bible School

Cedar Grove VBS Registration

Please complete this form for each person who plans to attend Vacation Bible School July 12-17, 2026 from 6:00pm - 8:45pm nightly. Each night there will be a meal provided.

Register for VBS

Fields marked with are required. Please submit a separate registration for each child or attendee.

Attendee Information

Child's Name *

Address *

City *

State *

Zip Code *

Child's Gender *

Child's Date of Birth *

Child's Age Group *

Child's T-Shirt Size *

Allergies & Medical Notes

Information shared here will only be used by VBS leaders and volunteers as needed to provide a safe and caring environment.

Food Allergies

Environmental Allergies

Medical Concerns

Special Needs, Accommodations, or Helpful Information

Best way to support this child if needed

Parent / Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email *

Primary Telephone Number *

Photo / Video Permission

During VBS we may take photos/videos for ministry updates, church promotion, and future events. We respect family privacy needs. Please indicate your permission below.

Yes, full permission to use my child’s photo/video publicly Limited permission No public use online or printed materials

I certify I am the parent/legal guardian and authorized to make decisions for this child. *

Emergency Contact

Emergency Contact Person *

Emergency Contact Phone Number *

Church & Follow-Up

After submitting, someone from Cedar Grove Christian may contact you if we need clarification.