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VBS

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VBS

June 22-26, 2026

Join Us For VBS!

Come to Ireland with us for the week!

June 22-26
We could use everyone’s help!
Sign up below to let us know you are coming!

VBS 2026 Registration — Bethany Church

Bethany Church Vacation Bible School 2026 · June 2026 · 6:15–8:30pm · Open to children who have just completed Pre-K – 6th Grade

Parent / Guardian Information

Parent / Guardian Name(Required)

First Last

Email Address

Optional — we’ll send a confirmation to this address.

Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone

Home Church

Emergency Contact

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Child 1

Child 1 — Full Name(Required)

First Last

Child 1 — Date of Birth(Required)

MM slash DD slash YYYY

Child 1 — Last Grade Completed(Required)

Child 1 — Allergies / Medical Conditions

Register another child?

Yes, add another child

No, that’s all

Child 2

Child 2 — Full Name

First Last

Child 2 — Date of Birth

MM slash DD slash YYYY

Child 2 — Last Grade Completed

Child 2 — Allergies / Medical Conditions

Register a 3rd child?

Yes, add another child

No, that’s all

Child 3

Child 3 — Full Name

First Last

Child 3 — Date of Birth

MM slash DD slash YYYY

Child 3 — Last Grade Completed

Child 3 — Allergies / Medical Conditions

Register a 4th child?

Yes, add another child

No, that’s all

Child 4

Child 4 — Full Name

First Last

Child 4 — Date of Birth

MM slash DD slash YYYY

Child 4 — Last Grade Completed

Child 4 — Allergies / Medical Conditions

Register a 5th child?

Yes, add another child

No, that’s all

Child 5

Child 5 — Full Name

First Last

Child 5 — Date of Birth

MM slash DD slash YYYY

Child 5 — Last Grade Completed

Child 5 — Allergies / Medical Conditions

Register a 6th child?

Yes, add another child

No, that’s all

Child 6

Child 6 — Full Name

First Last

Child 6 — Date of Birth

MM slash DD slash YYYY

Child 6 — Last Grade Completed

Child 6 — Allergies / Medical Conditions

Consent

Photo / Media Release

I give permission for my child(ren) to be photographed or filmed during VBS activities.

Bethany EC Church

1165 Letort Road, Conestoga, PA 17516
(717) 872 – 6775

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