2026 | Fallbrook VBS Registration Form

Event Email: vbs@fallbrookchurch.org
Event Dates: June 8th - 12th, 2026
Event Time: 6:30pm - 9:00pm
Event Location: Fallbrook Church

Campus

Child's Name

Child's Middle Name

Gender

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

Birthdate

Last Grade Completed (2025-2026 School Year)

Parents' Name(s)

Phone

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?

May we have permission to photograph your child?

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

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

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

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

Would you like to remain in our Brook Kids database for future Check-ins

Yes, please keep my child & family info. No, please delete/archive information after VBS.

Office Use Only

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