Toy Story VBS 2026 Child Registration

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Child's Name

*

Grade they will be in the fall.

Grade

*

Please select all that apply.

Pre-Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Gender

*

Please select all that apply.

Male Female

Allergies or Special Needs

*

Please select all that apply.

Yes (please list below) No

List allergies. If none, type none.

Allergies

*

Other Needs:

*

Parent's Name

*

Phone

*

Opt-In to Receive Text Updates

Please select all that apply.

Yes

Email

*

This address will receive a confirmation email

Address

*

Authorized Pick-up

*

Does this child have any special needs or medical conditions that may prevent participation in any activities? Is so, list below. If not. write NONE.

*

I agree to allow pictures or video that may include my child to be a part of event related presentation. I understand all will be in good taste. I agree to hold harmless and indemnify MovementChurch.online, its directors, employees and volunteers from any and all liability as a result of willful, intentional or negligent act of said participants.

Parent Signature

*

Description

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