Illumination Station - VBS 2026

Illumination Station VBS
First Baptist Barlow
July 12-16, 2026
Meal @ 5:15pm • VBS 6-8:30pm

Please complete a separate registration form for each child attending VBS.

Child's Name

*

Parent/Guardian's Name

*

*Child must be 3 years old by January 1st, 2026 to attend VBS.

Child's Age

*

Child's Date of Birth

*

Last Grade Completed in School

*

Please select one option.

Pre-K Kindergarten 1st 2nd 3rd 4th 5th

Address (Street Address, City, State, Zip Code)

*

Primary Contact Phone Number

*

Email

*

This address will receive a confirmation email

Medical Information

Please list any medical conditions or other medical information we need to know below. (Please include any food allergies.)

Medical Information & Food Allergies

*

Emergency Contact (Other Than Parent/Guardian)

*

Emergency Contact Phone Number

*

Transportation & Dismissal Information

Will your child need bus transportation?

*

Please select one option.

Yes No

Who may pick up your child at the end of each VBS day? (List all adults that are allowed to pick up your child.)

*

Other Information

Do you attend church regularly?

*

Please select one option.

Yes No

If yes, where?

*

Questions? Call church office at 270-334-3555.

Description

Illumination Station VBS
First Baptist Barlow
July 12-16, 2026
Meal @ 5:15pm • VBS 6-8:30pm

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