Spark Street VBS Kids Registration Form 2026

Please fill out this form and click submit.

Child's Name

Child's Date of birth

Grade Completed

Please select all that apply.

Pre-school Kindergarden 1st Grade 2nd Grade 3nd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

Parent / Family / Guardian First Name

Parent / Family / Guardian Last Name

Phone

This address will receive a confirmation email

Address

Home Church (if any)

I give permission to call 911 in case of an emergency.

Please select one option.

Yes No

Allergies and Medications

Does the child have any Food Allergies

Please select all that apply.

No Dairy Eggs Peanuts and Tree Nuts Soy Wheat and Gluten

Medical Concerns

Please select one option.

Yes No

List any other allergies or existing medical conditions, medication and/or special attention your child may require. (if none write NONE)

Special Needs - We love our children and want to accommodate them as best we can! If you would like to share any information regarding your child's special needs, please do so in this space. We request that you stay with your child(ren) for Children's Church.

Emergency Contacts

Name(s) of person(s) who may pick up this child from VBS

Emergency Contact's First & Last Name

Emergency Contact's Phone

Emergency Contact's Relationship

Emergency Contact Relationship:

Please select one option.

Mother / Mom Father / Dad Legal Guardian Grandparent Aunt / Uncle Older Sibling (e.g., Brother, Sister) Family Friend Neighbor Godparent Nanny / Babysitter Carpool Parent

Photo and Video Consent

Do you give permission for your child to be photographed and videotaped during Spark Street Children's Church activities for use by the Berean Church family?

Please select one option.

Yes No

Child Security Policy - For your child's safety, a parent or authorized guardian must sign them in and out of Spark Street Children's Church each day.

Please select all that apply.

Yes, I agree

Volunteer Opportunity

Would you like to volunteer for VBS?

Please select one option.

Yes No Maybe

Description

Please fill out this form and click submit.

Spark Street VBS Kids Registration Form 2026

Description

Please Fix the Following