VBS Participant Registration Form 2025 - Discover Truth

*One form per child*
VBS is for children Pre-K through completed Fifth grade. June 18-20, 6:15-8:30 pm and
Sunday morning wrap up, June 22, from 10:30-11:45 am, followed by a pizza party.

Your name *

Email address *

Phone number *

Child's Info

Child's Name *

Gender *

Age *

Date of Birth *

Last Grade Completed *

Parent(s) *

Address *

Phone number

T-Shirt Size *

Days Planning to Attend *

Wednesday

Thursday

Friday

Sunday & Pizza Party

Will your family be attending the pizza party?

Emergency Contact

Emergency Contact - Non-Parent/Guardian *

Phone number *

Emergency Contact - Non-parent/Guardian

Phone number

Authorized Pickup #1

Authorized Pickup #2

Do you regularly attend CCC?

Allergies or other medical conditions *

If there are none, type "N/A"

Parent/Guardian Digital Signature *

Photo Release: I acknowledge that there will be photos/videos taken during VBS activities, and I hereby grant my permission for such photos/videos to be taken and to be used in church publications.
*PLEASE WRITE YES OR NO*

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.