VBS Registration 2026

Miracle Ridge VBS is looking for Detectives! Help solve “The Case for Jesus Christ” Follow the clues. Discover the evidence. Learn who Jesus really is!

Child's Name(Required)

First Last

One form entry per child please

Grade(Required)

Going Into

Age(Required)

Home Phone

Alternate Phone

Parent 1(Required)

First Last

Parent 2

First Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact(Required)

First Last

Relationship to Child(Required)

Emergency Phone(Required)

Alternate Emergency Phone

Food Allergies(Required)

Yes

List Food Allergies

Medical Concerns(Required)

Yes

List Medical Concerns

Church Membership At

Person who will pick up the child

Parent

Other

Person picking up the child

First Last

Person picking up the child phone

Parental Signature(Required)

please type your name

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