Vacation Bible School 2026

“Emerald Crossing”

July 20-24, 9:00-11:45am

For children age 4 thru those entering grade 7 in the fall

To register for Emerald Crossing, fill out and submit the form below:

Emerald Crossing

* Child's Name

* Gender

Male

Female

* Child's Birthdate

* Grade Entering

* Age

* Address

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

* Parents/Guardian Name

* Phone

Email

* Emergency Contact Name (if parent can't be reached)

* Relationship to Child

* Emergency Contact Phone

Name of home church

How did you hear about our VBS?

* Food Allergies

Yes

No

List

* Medical Concerns

Yes

No

Explain

* T-Shirt Size Please Select: Youth Extra Small Youth Small Youth Medium Youth Large Adult Small

By registering your child, you are giving us permission to take photos to use on our social media page and our VBS video (we will not include names with photos).