Register for VBS

Primary Phone

Alternate Phone

Address

Emergency Contact Phone Number

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Do you attend Church Regularly? ------ yes no

How did you hear about us? ------ Family/Friend Church Website / Search Engine Poster Other

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

T-Shirt Size Youth/Small Youth/Medium Youth/Large Adult/Small Adult/Medium Adult/Large

Activity Participation Agreement Yes No I consent that my son/daughter has permission to participate in the planned activities of the Vacation Bible School Program of Grace Bible Fellowship Church, 100 E. Beil Avenue, Nazareth, PA 18064 during the week of June 22nd – 26th, 2026. I consider my son/daughter to be physically fit and able to participate in the activities. I agree not to hold Grace Bible Fellowship Church, the Vacation Bible School staff, or anyone accompanying the group responsible for any accidental injury to the above named child/young person. By selecting yes, I agree to the above and permit Grace Bible Fellowship Church to use photographs taken of my child at VBS in any publication, advertisement, or other display.

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