2026 VBS Kids Registration

Child's Name

Child's Date of Birth

Child's Grade Level (grade they just completed this year)

Parent Name

Parent Phone Number

This address will receive a confirmation email

Child's Allergies (if applicable)

Any other special information regarding your child? (dietary restrictions or special needs)

I hereby give permission for images of my child and their likeness, with or without name recognition, taken by video, photography, and/or a digital camera to be copyrighted and/or used solely for the purposes of River City promotional and/or advertising material, website, and publications, whether print and/or electronic, which includes provision to include statements such as testimonials, quotes, etc. I waive any rights of ownership or compensation thereto. This release shall remain in effect for each child until that child reaches legal age or this release is rescinded by a parent or legal guardian.

I do consent I do NOT consent

Donation for VBS supplies/activities, not required but greatly appreciated.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 24-26th, 6-8 pm

Please fill out this form and click submit.

2026 VBS Kids Registration

Description

Please Fix the Following