2026 VBS Kids Registration
June 24-26th, 6-8 pm | Please fill out this form and click submit.
Child's Name
*
Child's Date of Birth
*
Child's Grade Level (grade they just completed this year)
*
Please select one option.
Pre K 3 or Pre K 4
Kindergarten
1st
2nd
3rd
4th
5th
Select Option
Pre K 3 or Pre K 4
Kindergarten
1st
2nd
3rd
4th
5th
Parent Name
*
Parent Phone Number
*
Email
*
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 This release shall remain in effect for each child until that child reaches legal age or this release is rescinded by a parent or legal guardian.
*
Please select all that apply.
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
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
June 24-26th, 6-8 pm
Please fill out this form and click submit.
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