VBS 2025

July 14-18 6:30-8:30pm | Please fill out this registration form for EACH child who will be attending.

Online registration is closed. In person registration will be open each night.

Child's Info

Child's Full Name

*

Child's Gender

*

Please select one option.

Male Female

Date of Birth of Child (mm/dd/yyyy)

Grade COMPLETED in 2024-2025 school year:

*

Please select one option.

Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th

Does this child have any allergies?

*

Please select one option.

Yes (Describe Below) No

List Allergy Information

Does your child have any special needs that we need to be aware of? If yes, please let us know here.

Photo Consent (Cowboy Fellowship may use images that may include my child's face for different media purposes such as social media and future advertising)

*

Please select all that apply.

Yes No

Parent/Guardian Info

Parent/Guardian's Full Name

*

Relation To Child

*

Parent/Guardian's Cell

*

Parent/Guardian's Email

This address will receive a confirmation email

Family's Home Church

Backup Emergency Contact (must be a different adult)

Emergency Contact Full Name

*

Emergency Contact Phone

*

Relation to Child

*

Extra t-shirts will be available, please message children@cowboyfellowship.org to see if you can purchase one.

No, thanks (0) I'm interested (0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 14-18 6:30-8:30pm

Please fill out this registration form for EACH child who will be attending.

Online registration is closed. In person registration will be open each night.

Please Fix the Following

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