2025 VBS Registration
Please fill out this form and click submit.
Parent/Guardian Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Who are you registering for Vacation Bible School? Please include their names and the grade they are entering this upcoming year.
*
Do we have permission to take and share photos of your child/ren?
*
Please select one option.
Yes
No
Please list any allergies. A snack is served daily and we do our best to accommodate food related allergies.
*
Please indicate here if there are any medical needs for which the VBS team should be aware of.
*
Please indicate your church affiliation.
*
Please select one option.
I am a member of Ezekiel.
I am not a member of Ezekiel but would like to learn more.
I attend another a church other than Ezekiel.
Prefer not to say.
Grownups, we hope you will join us too - parents, grandparents, aunts, uncles and older siblings are welcome to volunteer. It takes many volunteers to make this such an awesome week! Please check this box if you are interested in helping out with our event.
Please select one option.
Yes, I'm interested in helping out.
Possibly, I'm interested in learning more.
I'm interested in helping provide supplies or food.
Not this year.
Emergency Contact Information
Emergency Contact Name
*
Emergency Contact Phone
*
Emergency Contact Relationship
*
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following
