Millersville Baptist Church VBS 2026
June 7-11, 2026 6:30pm-8:45pm | Please submit a form for each participating child.
Child's Name
*
Is there anything we need to know about your child: Allergies, medical needs, learning needs, anxieties, etc.
Child's Age
*
Grade Child Just Completed in School
Please select one option.
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Parent/Guardian's Name
*
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
Email
*
This address will receive a confirmation email
Cell Phone
*
Does your child need transportation for VBS?
Please select all that apply.
Yes
No
Do you currently attend a church?
*
Please select all that apply.
Yes
No
If you currently attend church, where?
I, the parent/legal guardian, give full consent and approval for my child to attend and participate in Vacation Bible School 2026 at Millersville Baptist Church. I agree that my child will abide by all the rules and expectations set forth by Millersville Baptist Church. I acknowledge and understand that attendance is voluntary. I also acknowledge and understand that all normal precautions will be taken during this event and that no leader, or Millersville Baptist Church will be liable or responsible in the event of an unforeseen accident or injury.
*
Please select all that apply.
Yes
Do you give permission to Millersville Baptist Church to use photographs and/or videos of my child in print or online materials designed for promotion or informational purposes related to Millersville Baptist Church.
*
Please select all that apply.
Yes
No
Electronic Signature*
*
*By entering my name in the box, I am providing my digital signature on this form. I attest that all information is correct to my knowledge.
Submit
Description
June 7-11, 2026 6:30pm-8:45pm
Please submit a form for each participating child.
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