Emerald Crossing VBS 2026

June 29th-July 3rd | Register your child(ren) for VBS. Spots are limited due to space and volunteers. Please check your email for important information leading up to and the week of VBS.

Parent/Guardian Full Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

I give the church permission to publish the likeness of my child(ren) to print, electronic, website, or video format

*

Please select all that apply.

Yes No I would like more info

Child information

Child's Full Name

*

Grade (Child will enter in the fall) Space is limited. 1st come 1st served. All others will be added to a waiting list.

*

Please select one option.

1st 2nd 3rd 4th 5th 6th

Allergies

2nd Child's Full Name

Grade (Child will enter in the fall) Space is limited. 1st come 1st served. All others will be added to a waiting list.

Please select all that apply.

1st 2nd 3rd 4th 5th 6th

Allergies

3rd Child's Full Name

Grade (Child will enter in the fall) Space is limited. 1st come 1st served. All others will be added to a waiting list.

Please select one option.

1st 2nd 3rd 4th 5th 6th

Allergies

Payment

1 Child ($5) 2 Children ($10) 3 Children ($15) Request Scholarship ($0) Pay Cash at Office/Info Counter by June 15th ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 29th-July 3rd

Register your child(ren) for VBS. Spots are limited due to space and volunteers. Please check your email for important information leading up to and the week of VBS.

Please Fix the Following

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