Vacation Bible School

WE HOPE TO SEE YOU THERE!

Fulp Moravian VBS 2026

Please fill out this form to register your child for our Vacation Bible School!
(One per Child)

Child's Name

Child's Gender

Child's Age

Child's Date of Birth

Last School Grade Completed

Name of Parents

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Parent or Caregiver's Cell Number

Your Email

Home Church

slide of names

Please enter Emergency Information

Include any allergies or other medical conditions. If none, please type “none”.

In case of emergency, Contact Person

Emergency Phone Contact Number

Relationship to the Child

List names of people who can pick up your child

I grant permission for a photo that includes my child to be published on the church's website, Facebook page, or photo slide show.