2026 VBS Registration Form

June 17-20 6pm (Sat @9:15 am) | Thanks for registering for VBS! We can't wait to see you June 17 at 6pm! The week nights begin at 6 pm. Saturday will begin at 9:15 am followed by a water party and dinner for the whole family. We will be done by 7 pm.

Parent Name

Student Name

This address will receive a confirmation email

Cell Phone

Would you like to recieve occasional text message reminders

Please select one option.

Yes No

Address

Grade starting in the 2026-27 school year

Please select one option.

1st 2nd 3rd 4th 5th 6th Worker Only - Nursery

T shirt Size

Please select one option.

Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Adult X-Large

Please list any allergies, activity restrictions or other special instructions VBS leaders need to know

How did you hear about VBS?

Please select all that apply.

I attend 11th Street Baptist Church A friend invited me My student is part of ESL/Great Adventure Club/Kids on Mission (other ESBC children's activity) Email from the church Phone call invitation Facebook post in an Upland community group Facebook Ad Other

I give my permission for photos or video of my student to be used in promotion of VBS or 11th Street Baptist Church

Please select all that apply.

Yes No

I certify that I am the parent / legal guardian of the student listed above.

I hereby give my consent to have my minor child participate in Vacation Bible School at 11th Street Baptist Church from June 17-20, 2026.

I recognize there are risks involved in participating in thie activity and hereby assume all risk of injury, harm, damage, or death to my minor child in connection with his/her participaton with this activity.

Typing your name below is considered your signature and consent to the above statement

Description

June 17-20 6pm (Sat @9:15 am)

Thanks for registering for VBS! We can't wait to see you June 17 at 6pm! The week nights begin at 6 pm. Saturday will begin at 9:15 am followed by a water party and dinner for the whole family. We will be done by 7 pm.

2026 VBS Registration Form

Description

Please Fix the Following