Spanish Fort Church of Christ

July 19-22, 2026 from 6:00 - 8:00 p.m.

First Name

Last Name

Email

Phone Number

Is this the Primary contact in case of an emergency?

Yes

No

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Please list all approved pickup contacts for your child/children

Home Church

How did you hear about our VBS?

Our VBS offers classes for ages 3 and up! If you have a child younger than 3, they are more than welcome to attend with you in the adult class each night!

First Name

Last Name

Birthdate

Last Grade Completed

Allergies/ Special Needs/ Medical Information/ Other (NA if none)

Spanish Fort Church of Christ/ VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, & social media. I also understand that no royalty, fee, or any other compensation shall become payable to me by reason of such use.

Yes, I give permission & understand

No, I do not give permission

T- Shirt Size

Signature

Date of Signature

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July 19-22, 2026 from 6:00 - 8:00 p.m.

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