VBS 2026 Student Registration

This address will receive a confirmation email

Student Information

Child's First/Last Name

Birth Date (MM/DD/YYYY)

Please complete registration for each child who will be in attendance.
OPEN REGISTRATION: Children ages 5-10 before September 1, 2025 (and have completed kindergarten through 5th grade)
LIMITED REGISTRATION: Due to limited space, preschool classes are limited to children ages 2-4 who currently attend Northwood Baptist Church
CLOSED REGISTRATION: Nursery is only provided for babies and toddlers (ages 0-2y) of team members and volunteers.

Child's Age (PLEASE note this is your child's age as of September 1, 2025, NOT necessarily their current age.)

5 6 7 8 9 10 11 Under 5 (Specific requirements met)

Medical Information

Please check any (LIFE-THREATENING) medical conditions that the child has.

NONE Allergies: Food or Environmental Seizures Asthma Heart Condition Other

Please explain any medical conditions checked above including food and environmental allergies.

Please check any learning or behavior conditions that the child has. (This is to help our leaders serve your child well during their time with us.)

NONE ADHD/ADD Sensory Processing Disorder ASD (Autism Spectrum Disorder) Dyslexia Other

If "other", please explain.

Does the child require life-saving medication to be on-site during VBS each night?

Yes No

If life-saving medication is required to be on-site, a member of our team will be in touch to collect it prior to your child's attendance.

Please share any additional medical/learning/behavior information that would be helpful to our team.

Consent for Participation

My child has permission to engage in all prescribed event activities which may include rigorous indoor and outdoor activities, unless otherwise noted by me, the parent or legal guardian.

I agree

Northwood Baptist Church has my permission to use my or my child’s photograph publically to promote the church. I understand that my child(ten)'s photo may be taken and the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

I agree

Northwood Baptist Church is a non-profit charitable organization dependent on God and his people. Those who engage in any related activities waive and release Northwood Baptist Church from any claim for personal injury, illness, or property damage.

I agree

I, _______________________, agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. I further agree my signature on this document is as valid as if I signed the document in writing. This is to be used in conjunction with the use of electronic signatures on all forms regarding any and all future documentation (i.e., sibling registrations) with a signature requirement, should I elect to have signed electronically.

Parent/Guardian Electronic Signature

Date Signed

The following Parent, Emergency, and Dismissal Information should apply to this student's registration and ALL siblings' registrations connected to this student.
The sibling registration link will be included in your confirmation email.

Parent Information

Parent Contact

Phone

Address

Does your family attend church?

Yes No

If so, where?

Emergency Contact (Different from Parent Listed Above)

Emergency Contact #1

Phone Number

Emergency Contact #2

Phone Number

Dismissal Information

Please ONLY list names of those not listed above who are approved to pick up your child at the end of VBS each night?

Description

June 15-19, 6-8:30 pm

Illumination Station VBS will be the brightest week of the year! While many people claim to know about Jesus, many are in the dark about who He really is. Some might see Jesus as just a person from history, a good man, or a wise teacher but He is so much more than that.
At Illumination Station VBS, kids will be challenged to answer Jesus' important question to His disciples, "Who do you say that I am?" As they explore all the ways light brightens, illuminates, reflects, and reveals, kids will discover that Jesus is the light who brings hope to a dark world.
Jesus spoke to them again: "I am the light of the world. Anyone who follows me will never walk in the darkness but will have the light of life." John 8:12

Please fill out this form and click submit.

VBS 2026 Student Registration

Description

Please Fix the Following