2026 VBS Student Registration
All children rising from kindergarten to 5th grade are invited to join us for Vacation Bible School at Haymarket Baptist Church the week of June 22-26 from 9:00am to 12:00noon. Due to the popularity of this event, it is important to register early. Spaces will be filled on a first come, first-served basis, and your child may be placed on a waitlist. If you have any questions, please contact VBS Co-Director Karen King at karenking1234@gmail.com or (703) 795-9127
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Email *
STUDENT'S NAME *
NICKNAME
STUDENT'S DOB *
MM
/
DD
/
YYYY
STUDENT'S AGE *
GRADE COMPLETED AS OF 6/22/2026 *
ALLERGIES OR SPECIAL NEEDS
(IF NO ALLERGIES OR SPECIAL NEEDS, PUT "NONE")
 *
STREET ADDRESS *
CITY, STATE, ZIP *
HOME PHONE
(IF NO HOME PHONE, PUT "NONE")
 *
PARENT/GUARDIAN NAME (1) *
PARENT/GUARDIAN EMAIL (1) *
PARENT/GUARDIAN CELL PHONE (1) *
PARENT/GUARDIAN NAME (2)
PARENT/GUARDIAN EMAIL (2)
PARENT/GUARDIAN CELL PHONE (2)
EMERGENCY CONTACT NAME AND PHONE #
(PLEASE LIST)
 *
PERSONS AUTHORIZED TO PICK UP STUDENT *
T-SHIRT SIZE *
HAYMARKET BAPTIST CHURCH PHOTO RELEASE FORM

I hereby authorize Haymarket Baptist Church the right to publish any photographs or videos of my child listed below for use in promotional materials including, but not limited to, newsletters, posters, brochures, websites, social networking sites and other print and digital communications, without payment or any other consideration.

I understand that this authorization shall continue indefinitely and that it is my responsibility to update this form in writing in the event that I no longer wish to authorize the above uses.

I also understand and agree that these materials shall become the property of Haymarket Baptist Church and will not be returned.

I GIVE PERMISSION *
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