2026 VBS Registration – Salisbury Community VBS

Child's Name *

First

Last

Please complete one form per child

Address

Address Line 1 *

City *

State *

Zip Code *

Primary Phone *

Secondary Phone

Age *

Completed Grade *

Allergies?

Parent's Name *

First

Last

Email Address *

Emergency Contact *

Emergency Contact Phone *

Final Night (7/22) - Celebration Night! *

How many family members will attend (including your child)? If your family was already counted for Night 3, please enter 0. We'd love for you to join us for a celebration & picnic!

Photo Permission Waiver *

I give permission I do NOT give permission I give permission for my child to be photographed and/or recorded during VBS activities. I understand these photos/videos may be used by the church for promotional purposes, including social media, website, and printed materials. I understand that no names will be used without additional permission.

Liability/Participation *

I understand I understand that while all reasonable precautions will be taken, participation in VBS activities involve some level of physical activity. I agree not to hold the church or its volunteers liable for minor injuries.

Special Requests