CrossLife VBS 2025 Registration

June 16th-June 20th (Monday-Friday)
6pm-8:35pm
PreK to 8th grade (age 4 to rising 9th graders)
Cost: Free!
When selecting grades, choose grade completed in the 2024-2025 school year.

Children Attending

How many children will be attending?

Child 1

First Name

Last Name

Birthdate

Age

Last grade completed

Allergies

Child 2

First Name

Last Name

Birthdate

Age

Last grade completed

Allergies

Child 3

First Name

Last Name

Birthdate

Age

Last grade completed

Allergies

Child 4

First Name

Last Name

Birthdate

Age

Last grade completed

Allergies

Child 5

First Name

Last Name

Birthdate

Age

Last grade completed

Allergies

Contact Information

Parent/Guardian 1

Last Name

Phone

Email

Parent/Guardian 2

Last Name

Phone

Address

Home Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Emergency Contact 1

First Name

Last Name

Relationship

Phone Number

Emergency Contact 2

First Name

Last Name

Relationship

Phone Number

Dismissal Information

Please list ALL who are allowed to pick up your child at the end of the day. Children will only be dismissed to those listed below.

Other Information

If you are visiting our church, who are you a guest of?

Photos and videos of children taken during Vacation Bible School will be used for presentation at CrossLife church and for CrossLife's social media. Children's names will not be used.

I acknowledge the above and give permission for my child to be photographed.

I would like more information before giving permission.

Is there any other information we should know?

Permission

I hereby give permission for my child/children listed on this form to attend Vacation Bible School at CrossLife Church. I will not hold CrossLife Church or individual staff/counselors liable for such accidents or injuries which might occur during VBS. I understand that in the event of an emergency, every effort will be made to notify me.

Signature

CrossLife VBS 2025 Registration

Children Attending

Child 1

Child 2

Child 3

Child 4

Child 5

Contact Information

Parent/Guardian 1

Parent/Guardian 2

Address

Emergency Contact 1

Emergency Contact 2

Dismissal Information

Other Information

Permission

About

Service Time

Contact Info

Follow Us