VBS REGISTRATION 2026

Age

*Adults Can Register here as well*

Date Of Birth (mm/dd/yyyy)

First & Last Name

Parent / Guardian Phone Number

Address

Who will pick up your child? List Names & Phone numbers

Medical Information Medications / Disabilities / Food Allergies?

List Emergency Contacts & Phone Number #

I have reviewed and completed the application and would like my son / daughter to participate in the Ebenezer Vacation Bible School Program.

I give my consent for photographs, in which my son/daughter may appear to be used in promoting the ministries of the Ebenezer Baptist Church.