2026 Moundridge Community VBS Registration
Moundridge Community VBS 2026
July 8th, 9th, & 10th from 6:00-8:30pm (Wednesday - Friday)
West Zion Church
(101 Washington Ave)

Ages - Pre-k through entering 5th grade. (Pre-k: there are only 20 total spots available.)

VBS Pool Party - Saturday, July 11th from 6:30-8:30pm - free to all VBS participants and their families. 
Chill Snow cones available for purchase at the party! All children participating in VBS will receive a coupon for a free mini snow cone at VBS!
Free Hot dog supper provided by the Moundridge Lion Club!

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Parent or Guardian Name (First and Last): *
Contact Phone #: *
Child's Name (First and Last): *
Grade child is entering in the fall of 2026: *
Required
Allergies, Medications, Activity Restrictions, and/or Medical Conditions you want to share with VBS volunteers: *
People authorized to pick up my child: *
Contact Email Address: *
Street Address: *
City, State, Zip Code:
 *
LIABILITY RELEASE: In consideration of West Zion Mennonite Church/Associated Ministries of Moundridge allowing the above child to participate in Vacation Bible School activities, I, the undersigned, do hereby release, forever discharge, and agree to hold harmless First Mennonite Church of Christian/Associated Ministries of Moundridge, its directors, employees, volunteers, and agents (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the above child while involved in Vacation Bible School. Furthermore, on behalf of my minor child, I hereby assume all risk of accidental personal injury, sickness, death, damage, and expense as a result of participation in activities involved therein. As well as releasing the child, if necessary, for transportation to and from the Vacation Bible School location, I, the undersigned, do hereby release, forever discharge, and agree to hold harmless West Zion Mennonite Church/Associated Ministries of Moundridge, its directors, employees, volunteers, and agents from any and all liability, claims or demands for accidental personal injury in the process of transportation.
 *
PHOTO/VIDEO PERMISSION: I give my consent to West Zion Mennonite Church & the VBS Director/Associated Ministries of Moundridge to use photo or video images taken of my child during VBS activities in church brochures, advertisements for the church, on the website, in social media, and in other church publications as they see fit. I agree to hold harmless West Zion Mennonite Church/Associated Ministries of Moundridge from any liability which may result from the use of said picture(s). This form will apply throughout my child’s tenure at Vacation Bible School. **None of the photos will be for personal use.**

 *
PHOTO/VIDEO PERMISSION: I give my consent to West Zion Mennonite Church & the VBS Director/Associated Ministries of Moundridge to use photo or video images taken of my child during VBS to be included in the video played on the last day of VBS as well as posted only to the Moundridge VBS Facebook page. I agree to hold harmless West Zion Mennonite Church, VBS Director/Associated Ministries of Moundridge from any liability which may result from the use of said picture(s). This form will apply throughout my child’s tenure at Vacation Bible School. **None of the photos will be for personal use.**
Check all the apply below.

 *
Required
MEDICAL TREATMENT PERMISSION: I authorize an adult, in whose care the minor has been entrusted, to consent to any emergency X-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.
 *
Do you want to volunteer during VBS? If yes, please mark the position you are interested in.
Mark all the apply below.
 *
Required
Parent/Guardian Signature: *
Submit
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