Vacation Bible School 2026 - June 8-12th

June 8 - 12, 2026, 6:00 - 8:30 pm | Please fill out this registration form by June 1, 2026 and click submit.

Child's Name (please complete one form for each child attending from your household, Ages 5 Years Old - 5th Grade)

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Gender

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Please select one option.

Male Female

Birthdate

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Grade Completed

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Address

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Parents/Guardian

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Cell Phone

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Other Phone

Email

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This address will receive a confirmation email

Emergency Contact & Relationship to Child

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Emergency Contact Phone

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List names and phone numbers of other adults authorized to drop off/pick-up your child:

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Name of Home Church

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Food Allergies

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Please select one option.

Yes No

If yes, list food allergies:

Medical Concerns

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Please select one option.

Yes No

If yes, list medical concerns:

I give permission for my child's image to be used in any ECC publication promotional materials or slide shows, including the ECC website. (By clicking yes, you are providing your electronic signature).

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Please select all that apply.

Yes No

My child has a current liability waiver form already on file with ECC. (If no or you are unsure, please contact the church office.)

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Please select one option.

Yes No I'm not sure.

Description

June 8 - 12, 2026, 6:00 - 8:30 pm

Please fill out this registration form by June 1, 2026 and click submit.

Please Fix the Following

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