Berean VBX 2026 Participant Registration

Berean VBX is in the evenings from 6:00 - 8:30 PM. VBX is for students who have just completed 5th grade through 8th grade. A simple meal is provided each evening.

VOLUNTEER: Interested in volunteering for VBX? Students who have just completed 9th-12th grade and adults ages 18+ are eligible to volunteer. Sign up HERE.

VBS: Looking for Berean VBS Participant Registration for 4Yrs - 5th grade? VBS is in the mornings, June 15 - 19, 2026 from 9 AM - 12 PM. Register HERE.

Parent/Guardian Information

Name

This address will receive a confirmation email

Phone

Address

Child 1

1st Child's First Name

1st Child's Last Name

1st Child's Birthdate

1st Child's Gender

Male Female

Last Grade Level Completed

Any food allergies, medical conditions, or special needs we should be aware of?

Child 2

2nd Child's First Name

2nd Child's Last Name

2nd Child's Birthdate

2nd Child's Gender Male Female

Last Grade Level Completed:

Any food allergies, medical conditions or special needs that we should be aware of?

Child 3

3rd Child's First Name

3rd Child's Last Name

3rd Child's Birthdate

3rd Child's Gender Male Female

Last Grade Level Completed:

Any food allergies, medical conditions, or special needs that we should be aware of?

Child 4

4th Child's First Name

4th Child's Last Name

4th Child's Birthdate

4th Child's Gender Male Female

Last Grade Level Completed:

Any food allergies, medical conditions, or special needs that we should be aware of?

Child 5

5th Child's First Name

5th Child's Last Name

5th Child's Birthdate

5th Child's Gender Male Female

Last Grade Level Completed

Any food allergies, medical conditions, or special needs that we should be aware of?

Emergency Contact/Miscellaneous

First and Last Name and relationship of Emergency Contact

Phone Number of Emergency Contact

Please list first and last name and relationship of anyone who has permission to pick up your child.

May we have permission to photograph your child for daily recap videos?

If you currently attend a church, where do you attend?

Would you like to be added to our Berean Friends email Newsletter to keep up to date with all of the activities at Berean?

Yes No

Anything else you'd like us to know?

Berean VBX 2026 Participant Registration

Description

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