VBS 2025 Children's Registration

Join us for Magnified Vacation Bible School at Immanuel!
MON - FRI / 5:30 to 8:15 p.m. / Immanuel Ministry Center, 1201 N China Lake Blvd.
Free for children entering Kindergarten through 5th grade!

JUNE 23 - 27th, 2025

5:30 - 8:15 p.m. at Immanuel Ministry Center / South Entrance

Incoming Kindergarten - Incoming 5th Grade

PLEASE COMPLETE ONE FORM FOR EACH CHILD

Child's Name

*

Address

*

Birthdate:

*

Grade they will enter in August 2026

*

Please select one option.

Incoming Kindergarten Incoming 1st Grade Incoming 2nd Grade Incoming 3rd Grade Incoming 4th Grade Incoming 5th Grade

Allergies or Special Needs? Please describe:

May we have permission to photograph your child?

*

Please select one option.

Yes No

Parent/Guardian's Name

*

Parent/Guardian's Phone Number

*

Parent/Guardian's Email

*

This address will receive a confirmation email

Emergency Contact's Name

*

Emergency Contact's Phone Number

*

Church Affliation:

VBS T-shirt Pre-Sale just $8 ($10 at the door)

T-Shirt Youth Sizes

Please select one option.

XS Small Medium Large XL

Payment Options

($0) ($8.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Join us for Magnified Vacation Bible School at Immanuel!
MON - FRI / 5:30 to 8:15 p.m. / Immanuel Ministry Center, 1201 N China Lake Blvd.
Free for children entering Kindergarten through 5th grade!

Please Fix the Following

Close