2025 | Fallbrook VBS Registration Form

June 9 through June 13, 2025 | Please fill out this form and click submit.

Join us for VBS 2025!

Event Email: vbs@fallbrookchurch.org
Event Dates: June 9th - 13th, 2024
Event Time: 6:30pm - 9:00pm
Event Location: Fallbrook Church

Campus

*

Please select one option.

North Campus Cypress-Katy Campus

Child's Name

*

Child's Middle Name

*

Gender

*

Please select one option.

Male Female

Please place the birthdate below int he following format for vbs group placement: (MM/DD/YYYY)

Birthdate

*

Last Grade Completed (2024-2025 School Year)

*

Please select one option.

3yrs 4yrs 5yrs (Pre-Kindergarten) Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5

Parents' Name(s)

*

Phone

*

Email

*

This address will receive a confirmation email

Please place below: (Full Mailing Address)

Address

*

Preferred Name on Name Tag

*

Emergency Contact Name

*

Emergency Contact Number

*

Emergency Contact Relationship

*

Authorized Pickup

*

Allergies, Medical and/or Special Needs (Type N/A if None)

*

Are you one of the following?

*

Please select one option.

Fallbrook Member Reoccurring Visitor First-Time Guest

May we have permission to photograph your child?

*

Please select one option.

Yes No Of Course!

May we have permission to use your child's photograph for the purpose of promotion?

*

Please select one option.

Yes No Of Course!

Do you Follow Fallbrook Children's Ministry on Social Media?

*

Please select one option.

Yes No I'm Not Sure

T-shirt Size (shirts must be purchased through confirmation email link))

*

Please select one option.

Youth Small Youth Medium Youth Large Small Medium Large X-Large 2XL 3XL

Office Use Only

Added On:

Please select one option.

Monday, June 10 Tuesday, June 11 Wednesday, June 12 Thursday, June 13 Friday, June 14

Assigned Classroom:

Please select one option.

Description

June 9 through June 13, 2025

Please fill out this form and click submit.

Join us for VBS 2025!

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