VBS Child Registration – Hoosier Harvest Church

By hharvest on 04/01/2026

Illumination Station

Shining a Light on Who JESUS Really is!

Date: July 6-10

Times: 6-8:30pm

Ages: Pre-K - 6th Grade

Child's Name*

Age*

Birthday*

Grade going into*

Child's Name

Age

Birthday

Grade going into

Child's Name

Age

Birthday

Grade going into

Parent's Name*

Cell Phone Number*

Email*

Allergies or Special Notes:*

Authorized Pick-Up Person (IF) other than Parent:*

Name of Emergency Contact (IF) other than Parent*

Cell Phone Number*

May we photograph*

Yes

No