VBS 2026 Registration Form • Belleview Baptist Church

Child Information

First Name *

Last Name *

Gender *

Date of Birth *

Grade Going Into *

Tip: Grade entering in the upcoming school year. Choose "Not yet in school" if your child is 3, 4 or 5 years old and will not be entering Kindergarten this upcoming school year.

Shirt Size (Choose One) *

Parent/Guardian Information

Guardian First Name *

Guardian Last Name *

Phone Number *

Email Address

Home Address *

Mailing Address (Optional)

Home City *

Home State *

Home Zip Code *

Communication

May we send you text announcements about the Children's Ministry to the cell phone number(s) shown above? *

Yes

May we use your child's picture in club photos, videos, promotional materials and on the church website? (Child's name will not be included) *

Yes

Does this child have any allergies? *

Yes

What allergies do they have? (If no, leave blank)

Who has permission to pick up your child/children? *

Who does NOT have permission to pick up your child/children? (If no, leave blank)

Emergency Information

In case of an emergency and the parent or guardian cannot be reached during VBS time.

Name *

Cell Phone *

Relation to Child *