VBS | Beaver Community Church

August 10-14, 2026
9:00-12:00 noon
Ages 5-12
at Beaver Community Church in partnership with
Pacific Coast Bible Church and Blaine Community Church
(10-14 de Agosto 2026, Edades 5-12)

Registration Form

Siblings with the same mailing address per registration, please. Include child’s last name if different than parent/guardian.

Please list children's names, ages and dates of birth (Nombres, edades y fechas de nacimiento de los niños)

Mailing Address (Direccion de envio)

Mailing Address Line 2 (Direccion de envio linea 2)

City (Ciudad)

State (Estado)

Postal / Zip code (Codigo postal)

Parent(s)/Guardian(s) (Padres/Guardianes)

Relationship to Child/Children (Relacion a los niños)

Phone (Numero de telefono)

Work (Numero de trabajo)

Email (Correo electronico)

In case of emergency contact and phone (Contacto de emergencia)

Please list all persons who may pick up this child from VBS (Nombres de los que pueden recoger a los niños)

Please list allergies and any other medical concerns (Lista de alergias o condiciones medicales)

I give my permission for my child’s picture to be included in VBS posts on the church’s website or social media, as well as in local newspapers. (Permiso de publicarse fotos a los niños)

Yes

I agree to the terms & conditions

(Estoy de acuerdo con los términos y condiciones)

Your Signature (Firma)

August 10-14, 2026 9:00-12:00 noon Ages 5-12 at Beaver Community Church in partnership with Pacific Coast Bible Church and Blaine Community Church (10-14 de Agosto 2026, Edades 5-12)

Registration Form

August 10-14, 2026
9:00-12:00 noon
Ages 5-12
at Beaver Community Church in partnership with
Pacific Coast Bible Church and Blaine Community Church
(10-14 de Agosto 2026, Edades 5-12)