2026 VBS Registration

Emerald Crossing VBS June 22-26, 2026 | Our adventure takes place Monday, June 22- Friday, June 26, 6:00-8:30 PM
For children age 3 through 6th grade.
We are looking forward to seeing you there!

Please fill out this form and click submit.

If you are registering more than 4 children, please submit a second form.

Calvary Monument Bible Church
1660 Mine Road
Paradise, PA 17562
717-442-8161
cmbc@calvarymonument.org

Contact Information

Parent Name

Address

This address will receive a confirmation email

Phone

Emergency Contact Name

Emergency Contact Phone

The following people may pick up my child(ren):

How did you hear about VBS?

Children's Information

Child's Name(1)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Child's Name(2)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Child's Name(3)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Child's Name(4)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Photo Consent

I understand that any images captured at this event may be used on print and online publications or social media.

Description

Emerald Crossing VBS June 22-26, 2026

Our adventure takes place Monday, June 22- Friday, June 26, 6:00-8:30 PM
For children age 3 through 6th grade.
We are looking forward to seeing you there!

Please fill out this form and click submit.

If you are registering more than 4 children, please submit a second form.

Calvary Monument Bible Church
1660 Mine Road
Paradise, PA 17562
717-442-8161
cmbc@calvarymonument.org

2026 VBS Registration

Description

Please Fix the Following