Vacation Bible School 2026 Registration

Child Name

Child Age

Parent/Caregiver #1 Name

Parent/Caregiver Email

This address will receive a confirmation email

Parent/Caregiver #1 Phone

Parent/Caregiver #2 Name (if applicable)

Parent/Caregiver #2 Phone (if applicable)

Address

Who is authorized to drop off and pick up child? Please list all names and their relationship to child.

Any Allergies? (please list)

Any Special Accommodations Needed? (please list)

PHOTO/MEDIA RELEASE: I give permission for my child's photo/video to be used during or after Vacation Bible School 2026 on Crossroads Media Platforms.

Yes No

LIABILITY RELEASE: I do hereby release Crossroads Church of Shamong and any Staff or Volunteer connected with them, from any liability that should occur while my child attends Vacation Bible School 2026.

Yes No

SIGNATURE: My printed name in this box acts as my signature on this registration form.

Date:

Description

Welcome to Vacation Bible School 2026 - Snowball Mountain Challenge! Please complete this registration form as thoroughly as possible. We are excited to "Find Our Strength In God" this summer!

Vacation Bible School 2026 Registration

Description

Please Fix the Following