Vacation Bible School For children in preschool-5th grade JUNE 24TH-28TH 6:00-8:30PM https://libertybiblechurch.com/wp-content/uploads/2024/02/vbs-2024-promo.mp4 VBS Registration Please submit a separate registration for each childChild Name(Required) First Last Child Age:(Required) Address(Required) Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Grade level in 2023-24(Required)Select Grade LevelPreschoolKindergarden1st2nd3rd4th5thPlease note, all children must be fully potty trainedAllergies, 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: I'm planning on my child attending these days:(Required) Monday Tuesday Wednesday Thursday Friday Select AllPlease be as accurate as possible as this helps with planning which group your child will be placed in.Additional info we may need to know about your child?Photo Release AgreementPhotos 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 AgreementMedical 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)SelectGirlBoyOptional Add-OnsExact cash, check or credit card payments will be accepted at VBS (please visit the merchandise table to get your items). Requests for items marked "sold-out" can't be honored.VBS Extras T-Shirt, Kids X-Small ($7) T-Shirt, Kids Small ($7) T-Shirt, Kids Medium ($7) T-Shirt, Kids Large ($7) T-Shirt, Adult Small ($10) T-Shirt Adult Medium ($10) VBS CD ($7) CAPTCHA
