VBS 2026 Registration Form

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Thanks for choosing to register for VBS 2026! We're excited to spend the week learning about the overarching story of the Bible. As we explore the lush meadows and vast countryside of Ireland, we'll spend the week learning about the Good Shepard and how he cares for his sheep.

Details...

Emerald Crossing VBS will be held in La Harpe from July 13-17th, 2026 from 9am-noon each day. It is a joint effort of the La Harpe Christian Church and Union Church. Each day will begin and end at the La Harpe Christian Church. VBS is open to children age 4 through 8th Grade.

Child Information

Child First Name *

First name of child attending VBS

Child Last Name *

Last name of child attending VBS

Child Address *

The home address of the child attending VBS

City *

City in which child resides

State *

State in which child resides

ZIP Code *

ZIP Code in which child resides

Home Church

The church the child regularly attends (if none, write none)

Union Church of La Harpe

La Harpe Christian Church

Other:

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Grade Entering in Fall *

Select the grade the child will be in this fall (if not beginning school yet, mark Pre-K)

Parent/Guardian Information

Parent/Guardian First Name *

First name of the parent or guardian of the child

Parent/Guardian Last Name *

Last name of the parent or guardian of the child

Parent/Guardian E-mail

E-mail address at which you can be reached

Parent/Guardian Phone Number

The phone number at which you can be reached

Emergency/Health Information

Emergency Contact *

Person we can contact in the event of an emergency during the week of VBS (during the hours of 9am-noon)

Emergency Contact's Relation *

The relationship of the emergency contact to the child (parent, grandparent, friend, etc.)

Emergency Contact Phone # *

Number at which we can reach the emergency contact during VBS

Allergies/Special Needs

Please list any allergies or special needs for which we may need to account

Walk/Ride Permission

My Child has permission to walk/ride their bike home from VBS

I give VBS leaders permission to send my child home on foot or on their bike (please check if yes)

Other Information

Any other information you think might be helpful for us to have

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