2026 VBS - Rome:Paul & the Underground Church

June 22nd - 25th - 6-8:30 pm | Please fill out this form and click submit.

Please complete a form for each child.

Once you submit a child's form it will give you the option to go back and enter another child.

You can pay full amount on one child's entry and check paid under sibling for the remainder of your children.

Child's Name

Mom's Name

Dad's Name

This address will receive a confirmation email

Cell Phone

Address

Age

Please select all that apply.

3 Years 4 Years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years

Grade

Please select all that apply.

Pre-School (3yrs to 5 yrs) Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

T-Shirt Size

Please select all that apply.

X-Small Small Medium Large X-Large XX-Large

Food Allergies / Medical Copnditions

I, the parent or legal guardian of above named child give my permission to use the photographs taken during VBS for but not limited to: publicity, illustration, advertising and web content.

Please select all that apply.

By checking this box I, the parent/guardian, give my permission for Grace to use photos taken during VBS as stated above I, the parent/guardian, DO NOT give my permission for Grace to use photos taken during VBS as stated above

Parent / Guardian Name

Payment

1 Child ($15) Family (2+) ($30) Scholarship Needed (0) Paid under sibling ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 22nd - 25th - 6-8:30 pm

Please fill out this form and click submit.

2026 VBS - Rome:Paul & the Underground Church

Description

Please Fix the Following