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
Which Campus Location Do You Attend?
*
Please select one option.
Fallbrook North Campus
Fallbrook Cypress-Katy Campus
Select Option
Fallbrook North Campus
Fallbrook Cypress-Katy Campus
Child's Name
*
Child's Middle Name
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Birthday (MM/DD/YYYY)
*
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
Select 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
Address (Full Mailing Address)
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Preferred Name on Name Tag
*
Emergency Contact Name
*
Emergency Contact Phone#:
*
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
Select Option
Fallbrook Member
Reoccurring Visitor
First-Time Guest
May we have permission to photograph your child?
*
Please select one option.
Yes
No
Of Course!
Select 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!
Select 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
Select 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
Select Option
Monday, June 10
Tuesday, June 11
Wednesday, June 12
Thursday, June 13
Friday, June 14
Assigned Classroom:
Please select one option.
Toddlers | CY107
Special Buddies | CY112
PK3 Blue | CY113
PK3 Red | CY114
PK4 Blue | CY117
PK4 Red | CY115
Kinder Blue | CY121
Kinder Red | CY120
Kinder Green | CY122
Kinder Yellow | CY119
Grade 1 | Blue - CY125
Grade 1 | Red - CY123
Grade 1 | Green - CY111
Grade 2 | Blue - CY127
Grade 2 | Red - CY126
Grade 2 | Green - CY130
Grade 3 | Blue - CY209
Grade 3 | Red - CY207
Grade 3 | Green - CY208
Grade 4 | Blue - CY211
Grade 4 | Red - CY210
Grade 4 | Green - CY213
Grade 5 | Blue - CY214
Grade 5 | Red - CY215
Grade 5 | Green - CY216
Select Option
Toddlers | CY107
Special Buddies | CY112
PK3 Blue | CY113
PK3 Red | CY114
PK4 Blue | CY117
PK4 Red | CY115
Kinder Blue | CY121
Kinder Red | CY120
Kinder Green | CY122
Kinder Yellow | CY119
Grade 1 | Blue - CY125
Grade 1 | Red - CY123
Grade 1 | Green - CY111
Grade 2 | Blue - CY127
Grade 2 | Red - CY126
Grade 2 | Green - CY130
Grade 3 | Blue - CY209
Grade 3 | Red - CY207
Grade 3 | Green - CY208
Grade 4 | Blue - CY211
Grade 4 | Red - CY210
Grade 4 | Green - CY213
Grade 5 | Blue - CY214
Grade 5 | Red - CY215
Grade 5 | Green - CY216
Submit
Description
June 9 through June 13, 2025
Please fill out this form and click submit.
Join us for VBS 2025!
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