VBS Registration

VBS Registration

Use this form to register for Vacation Bible School at Emmanuel Church in Manassas, VA.

VACATION BIBLE SCHOOL 2026

VBS 2026 is all about CHRIST who is the LIGHT OF THE WORLD.

July 27th-31st
6:30pm-8:30pm
Open to children age 3 through 6th grade

Emmanuel
8006 Centreville Road
Manassas, VA 20111
www.ebcnva.com
(703) 368-9206

By completing this form, you authorize Emmanuel to contact you via phone and/or email and to add you to our text/email mailing list.

Family Information

Please tell us about yourself and your children.

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone(Required)

Parent/Guardian Email(Required)

Emergency Contact Name(Required)

First Last

Please provide an Emergency Contact in case something comes up and we cannot reach you.

Emergency Contact Phone #(Required)

Who is authorized to pick your child(ren) up at the end of VBS each evening? List up to 3 people.(Required)

Do we have permission to photograph your child(ren)? Pictures may be used in printed and electronic publications of the church, including website.(Required)

Yes

About Your First Child

Please provide the following information about the first child you are registering for VBS.

First Child's Name(Required)

First Last

Last Grade Completed(Required)

has not started school

kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

Please tell us the most recent school grade that your child has completed.

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Medical Information(Required)

List any medical conditions, allergies, chronic illnesses, special needs, or other conditions that your child has.

Do you have a second child to register?(Required)

Yes

If you do not have any additional children to register, select “No” then scroll down and click the submit button.

About Your Second Child

Please provide the following information about the second child you are registering for VBS.

Second Child's Name(Required)

First Last

Last Grade Completed(Required)

has not started school

kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

Please tell us the most recent school grade that your child has completed.

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Medical Information(Required)

List any medical conditions, allergies, chronic illnesses, special needs, or other conditions that your child has.

Do you have a third child to register?(Required)

Yes

If you do not have any additional children to register, select “No” then scroll down and click the submit button.

About Your Third Child

Please provide the following information about the third child you are registering for VBS.

Third Child's Name(Required)

First Last

Last Grade Completed(Required)

has not started school

kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

Please tell us the most recent school grade that your child has completed.

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Medical Information(Required)

List any medical conditions, allergies, chronic illnesses, special needs, or other conditions that your child has.

Do you have a fourth child to register?(Required)

Yes

If you do not have any additional children to register, select “No” then scroll down and click the submit button.

About Your Fourth Child

Please provide the following information about the fourth child you are registering for VBS.

Fourth Child's Name(Required)

First Last

Last Grade Completed(Required)

has not started school

kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

Please tell us the most recent school grade that your child has completed.

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Medical Information(Required)

List any medical conditions, allergies, chronic illnesses, special needs, or other conditions that your child has.

Additional Children

If you have more than four children to register for VBS, please resubmit the form a 2nd time with the additional children. Thank you!