Verity 2026 - Emerald Crossing - VBS - Verity Community Church

Cell Phone or Best Contact Phone # *

Email Address: *

Address *

How many Children will be attending (must be between 5 -10 years old) *

If greater than 3 please register the additional children on a separate registration form.

1

2

3

1st Child's name *

1st Child's Age (As of July 1st, 2026) *

5

6

7

8

9

10

1st Child's Gender *

Male

Female

1st Child's T-Shirt Size *

Kid's small

Kid's medium

Kid's large

Adult small

Adult medium

Adult Large

Any Additional Information

Please include allergies, medical conditions, or anything you feel we should know to best attend to your child(ren).