2026 Vacation Bible School Registration

What is your child's name?

What is your child's age? (Ages 4-12)

Parent(s) name(s)?

Does your child have any allergies?

Can we take photos of your child?

Yes No

If yes to the above question, can we use the photos for promotional purposes?

Yes No

Is there anyone who cannot pick up your child?

Best phone number to reach you?

Emergency contact- name and number

Have you attended Riverside Chapel's VBS before?

Yes No

This address will receive a confirmation email

Address

Description

We are excited for a fun week! To keep everyone safe, please fill out this form and click submit.