Vacation Bible School

1Participant Information

2Child Information

3Address

Choose Age Group / Time(Required)

Participant Information(Required)

Participant First Name Participant Last Name

Participant Preferred Name

Gender(Required)

Grade Completed in June 2025(Required)

PreK

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

Date of Birth(Required)

MM slash DD slash YYYY

School Attended in 2024/2025(Required)

VBS T-Shirt Size(Required)

Youth XS (4-5)

Youth S (6-8)

Youth M (10-12)

Youth L/Adult S (14-16)

Adult M (Adult 6-8)

Adult L

VBS Music(Required)

Digital Download

Do you have a friend request? (1 Friend ONLY) Note: Groups are assigned by completed grade level.

Emergency Contact Name (if Parent/Guardian cannot be reached)(Required)

First Last

Emergency Contact Cell Number(Required)

Family Doctor Name(Required)

First Last

Phone Number of Medical Clinic(Required)

Preferred Hospital(Required)

Does your child have allergies (food or environmental), food intollerances or other allergies they may encounter during normal programming/events?(Required)

Yes

Please specify allergies

Where do you currently worship?

Additional Information You Would Like Us To Know (include any emotional, behavioral, and/or special needs)

I (We) grant to King of Kings Lutheran Church the right to take photographs in connection with children/youth education classes, summer programs, and any other Church sponsored event. I (We) authorize King of Kings Lutheran Church, its assignees and transferees to copyright, use, and publish the same in print and/or electronically, including the King of Kings website, social media, video and secure web-based photo sharing. I (We) agree that King of Kings Lutheran Church may use such photographs or videos within internal print publications/slides.(Required)

Parent/Guardian Name(Required)

Parent/Guardian Home/Cell Phone(Required)

Parent/Guardian Email Address(Required)

Parent/Guardian 2 Name

Parent/Guardian 2 Cell Phone Number

Parent/Guardian 2 Email Address

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Have you received a scholarship?(Required)

No, please continue with a regular registration

Yes, I have a scholarship for this camp

Vacation Bible School 2025

Price:

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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