Illumination Station VBS 2026

Parent 1's Name

Parent 2's Name

This address will receive a confirmation email

Parent 1's Phone

Parent 2's Phone

Address

Do you attend a local church? If so, which one?

Emergency Contact if parent/guardian cannot be reached: Name and phone number please

Name of other adult(s) given permission to pick my child(ren) up.

(1) Child's Name

(1) Child's date of birth

Child's gender

Male Female

Grade completed 25/26 school year

pre-k K5 1st 2nd 3rd 4th

Allergies or Medical Conditions:

Is there a friend your child would like to be grouped with?

(2) Child's Name

(2) Child's date of birth

Child's gender Male Female

Grade completed 25/26 school year pre-k K5 1st 2nd 3rd 4th

Allergies or Medical Conditions:

Is there a friend your child would like to be grouped with?

(3) Child's Name

(3) Child's date of birth

Child's gender Male Female

Grade completed 25/26 school year pre-k 1st 2nd 3rd 4th

Allergies or Medical Conditions:

Is there a friend your child would like to be grouped with?

Metro North Church has permission to use photos or videos of my child(ren) listed above in church presentations or church promotional materials.

Yes No

Requested donation $10/per child

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Expiration Date/CVC

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Description

June 15-19, 6:00-8:00 pm

Join us for Metro North's 2026 Vacation Bible School - Illumination Station!
Kids age 4 (potty trained) through rising 5th graders are invited. Join us for the brightest week of the year! During Illumination Station VBS kids will explore all the ways light brightens, illuminates, reflects, and reveals. We will have fun with games, crafts, music, snacks and more. There is a requested donation of $10 per child (paid online or at the church).

Illumination Station VBS 2026

Description

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