Vacation Bible School 2026 Registration July 28-30 [3 Year Olds - Entering Kindergarten]

At Illumination Station VBS, children will be challenged to answer Jesus’ important question to His disciples, “Who do you say that I am?” As they explore all the ways light brightens, illuminates, reflects and reveals, children will discover that Jesus is the Light who brings hope to a dark world.

Jesus spoke to them again: “I am the Light of the world, Anyone who follows me will never walk in darkness but will have the light of life.” John 8:12

Child's First and Last Name

My child is a

Boy Girl

As of 28 July my child will be:

I confirm that my child is able to attend to bathroom skills without adult help in the restroom.

Yes Not at this time

Birthday

Address

Has your child had any experience with organized groups outside of the home? For example: preschool, child care, VBS, Sunday School, dance, etc.?

Yes No

Contact Information

Parent/Guardian 1 name

This address will receive a confirmation email

Parent/Guardian 1 Mobile Phone [this is the number that will receive VBS related text messages]

Parent/Guardian 2 name

Parent/Guardian 2 email

Parent/Guardian 2 Mobile Phone

Medical Information

Please list any allergies, be sure to include all FOOD allergies. If there are no allergies please indicate with NKA.

Does your child carry an EPI Pen?

We are not set up to administer any medications during VBS. If your child has any medication needs that must be administered during the VBS program hours, a parent/guardian will need to come to the Nurse Station at VBS and administer the medications as needed.

Please indicate below if we need to contact you regarding the arrangement of your arrival for medications during the program.

I will need to administer medications to my child during the VBS program.

Yes No

Please list any special conditions, including medical issues, that you would like the VBS staff to be aware of during VBS. Be sure to indicate if there is any concern about participation in physical activity [ie: exercise induced asthma].

Emergency Contact

An on-site nurse will be available all week to administer basic first-aid.

In the event of an emergency, we will always call 911 first.

Following our call to 911, we will contact the Parent/Guardian 1, as listed on this form, first. In the event, that contact is not available who you would like us to call next? This should be the person most able to receive texts and/or calls during the VBS program.

Emergency contact name [NOT the parent/guardian 1]:

Emergency contact number

Emergency contact relationship

Medical Release

I hereby release Mount Bethel Church, its staff and its volunteers, from responsibility and liablity for any injury or illness that my child may sustain during this event. In case of emergency, I authorize an adult leader, as agent for me, to consent to an x-ray exam; medical, dental, or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state where the service is rendered. I expect to be contacted as soon as possible in case of emergency.

Parent/guardian initials

Date

Photo Release

To help Mount Bethel Church spread the Gospel and exciting news about the activities in our church, Mount Bethel Church publicizes events and activities via our website, in-house media, and social media.

We are seeking your permission to use your child's name and/or photograph in any media, including but not limited to the church's website, newspapers, magazines, social media, etc. Please indicate below if you provide permission, if you elect "NO" your child's name and photograph will not be taken or be blanked out, in any of our media.

Photo Release

YES, you may use my child's name and/or photograph in any media. NO, please do not use my child's name or photograph in any media.

Parent/guardian initials

Volunteer Information

VBS is a ministry of Mount Bethel Church. If you, as a parent, would like to help in any way, please let us know by completing the adult volunteer form found on the MBC website or at this link: ADULT Volunteer Form.

Child's T-shirt Size

Size

Church Affiliation

Do you have a home church?

Financial Donation

Mount Bethel Church does not charge a registration fee for participation in Vacation Bible School. However, costs associated with snack, crafts and other supplies generally cost $10.00 per child in attendance. Perhaps you would like to help us offset some of those costs with a donation.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Tuesday, July 28-July 30, 9:00 a.m. - Noon

This registration form is for children who are 3-year-olds [able to attend to bathroom skills independently] - ENTERING kindergarten in the fall of 2026.

Snacks are provided each day. Please list any dietary needs in the registration form.

Youth who have completed grade 6 through 12 are invited to serve as volunteers during Vacation Bible School! Please see the church website for a link to the YOUTH Volunteer Form.

Adults are also invited to serve as volunteers during Vacation Bible School. Please see the church website for a link to the ADULT Volunteer Form.

Mount Bethel Church does not charge a registration fee for participation in Vacation Bible School. However, costs associated with snack, crafts and other supplies generally cost $10.00 per child in attendance. Perhaps you would like to help us offset some of those costs with a donation.

Should you have any questions please email: Mountbethelchurchvbs@gmail.com

Vacation Bible School 2026 Registration July 28-30 [3 Year Olds - Entering Kindergarten]

Description

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