Vacation Bible School

For children in preschool-5th grade

June 19 - 23, 2023

6:00-8:30PM

Donate Items

Please submit a separate registration for each child

Child Name(Required)

First Last

Childs Age(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Grade level in 2022-23(Required)

Please note, all children must be fully potty trained

Allergies, medical conditions or special needs?

Best contact number during VBS(Required)

Parent Email(Required)

Do you attend a local church? If so, which one?

How did you hear about us?

I'm coming as a guest of:

Additional info we may need to know about your child?

Photo Release Agreement

Photos and/or videos are taken by our staff during the course of VBS. These photos and/or videos may be used on the libertybiblechurch.com website, on our Facebook or Instagram pages or in slideshows shown during or after VBS. Children in photos are not specifically identified by name or age. All children must have a photo release as we can not guarantee that children will not inadvertently appear in a photo.

Photo Release(Required)

I understand that my child may appear in photos and/or videos from this event

Medical Release Agreement

Medical volunteers will be on hand during VBS at Liberty Bible. In the case of a minor injury (small cuts & scrapes, bruises, etc.) our medical volunteers will provide minor first aid. In the event of a more serious injury, we will contact the parent and/or 911 emergency services.

Medical Release(Required)

In my absence, I authorize the staff of Liberty Bible to engage medical treatment for my child as well as provide first aid care on site if deemed necessary.

Child Gender(Required)

Optional Add-Ons

Exact cash or check payments will be accepted at VBS. Requests for items marked "sold-out" can't be honored.

VBS Extras

T-Shirt Kids X-Small ($7)

T-Shirt Kids SM ($7)

T-Shirt Kids MD ($7)

T-Shirt Kids LG ($7)

T-Shirt Adult SM ($10)

T-Shirt Adult M ($10)