Child Registration — VBS 2026 Illumination Station

Register a Child

Please complete one form per child. All fields marked * are required.

Child Information

Child's first name *

Child's last name *

Date of birth *

Grade completed this past school year *

Gender

T-shirt size

Parent / Guardian

Parent first name *

Parent last name *

Email *

Phone (cell) *

Address

Emergency Contact (other than parent above)

Name

Phone

Relationship to child

Health & Safety

Allergies (food, environmental, etc.)

Medical conditions or medications we should know about

Authorized pickup persons (besides parent above)

Permissions I give permission for photos/video taken at VBS that may include my child to be used for church communications (website, newsletter, social media). Faces will not be tagged or named. Required: In the event of an emergency, I authorize VBS leaders to seek medical treatment for my child if I cannot be reached. Send me occasional updates from Lithia Springs Methodist Church.

Anything Else?

Notes for VBS leaders