Emerald Crossing Registration Form

Top o’ the morning! 🍀 Thank you for registering for Emerald Crossing VBS!

Join us this summer for an exciting Irish Adventure as we explore Psalm 23 and discover that there is a Good Shepherd who cares for us in every season. Kids will explore Ireland's rolling hills through live dramas, music, games, snacks, and Bible lessons!

Child's Full Name

Preferred First Name

Child's Date of Birth

School Grade Completed in 2024/2025 School Year

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Mailing Address

Medical Conditions or Allergies

Parent/Guardian Information

Parent/Guardian 1 Full Name

Parent/Guardian 1's Phone Number

Parent/Guardian 2 Full Name

Parent/Guardian 2's Phone Number

Parent/Guardian's Email

This address will receive a confirmation email

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone Number

Relation to Child

Mother Father Grandparent Friend Other

Child Pickup

Please list First and Last Name of anyone who may pick up your child. (If person is not listed, they will not be able to pick up your child for security reasons.)

Bathroom Assistance Permission

At Hillcrest Baptist Church, we strive to protect and help your child as best we can. All VBS volunteers have received training and background checks. Should your child need assistance in the bathroom due to vomiting, buttoning clothes, clean up, etc., we ask that the parent/guardian grant us permission to assist your child.

Please either grant or deny the Hillcrest Baptist Church VBS volunteers permission below.

Please choose Yes or No

Yes, I grant permission for HBC volunteers to help my child in the bathroom if needed. No, I do NOT grant permission. Please call me if my child needs assistance.

Photo Release Permission

At Hillcrest Baptist Church, we take photographs of special events to use in social media, Family Night powerpoints, etc. However, we respect your privacy very much.

Below please grant or deny Hillcrest Baptist Church permission to take photographs of your child throughout the week and use them on our social media pages, Family Night powerpoints, etc.

Please choose one of the following:

Yes, I grant permission for HBC to take photographs of my child at this event. No, I do NOT grant permission for HBC to take pictures of my child at this event.

Contact for VBS Info and Future Events

How did you hear about this event?

Mail Flyer Facebook Friend Radio Signage Church Website

Do you attend church regularly on Sundays?

If you attend church regularly, where do you attend?

If you do not attend church regularly, would you like our pastor to contact you?

Would you like to be contacted for future events at HBC?

Yes No

Best Way to Contact

Preferred Email Address

Preferred Phone Number

What is the best day/time to contact you?

Description

July 19th to 22nd

Please fill out this form to register your child for the Emerald Crossing VBS at Hillcrest Baptist Church. Once complete, click submit.

2026/2027 Grades: Completed Kindergarten to 5th Grade

VBS: July 19th to 22nd
5:00pm to 8:30pm
Dinner is provided each night.

Family Commencement Ceremony: July 22nd
8:00pm to 8:30pm
Come see the kids' accomplishments this week. Enjoy fellowship and snacks!

Emerald Crossing Registration Form

Description

Please Fix the Following