Request edit access
Fairfield Community Church VBS Registration 2026
Registration Form for Rainforest Falls VBS. 
PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD.
Sign in to Google to save your progress. Learn more
Email *
Fairfield Community Church VBS 2026
Child's name *
Child's Date of Birth *
MM
/
DD
/
YYYY
 Child's Age
 *
  Grade Completed    *
Child's Gender
Parent/Guardian Name *
Relationship to Child   *
Phone number
Email
Home Address
Emergency Contact Name & Relation to the Child
Emergency Contact Phone
Additional Authorized Pickup Persons   *
Does your child have any allergies? *
Required
Please explain any allergies or medical conditions 
(if no allergies, please type none in the answer box)
 *
Does your child require medication during VBS?  
Clear selection
Any physical, emotional, behavioral, or learning needs we should be aware of?  (if none, type none in the answer box)
  Which days will your child attend?  
Will your child attend dinner time each evening (5:30pm)?  
Clear selection
Child's T-Shirt Size *
Photo/Video Permission

I give permission for my child to be photographed during VBS activities for church use including bulletin boards, church website, and social media.

 *
Medical Treatment Permission

In the event of an emergency, I authorize church staff/volunteers to obtain medical treatment for my child if I cannot be reached.
 *
Parent/Guardian Electronic Signature   *
Today's Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms