VBS 2026 Registration

June 29th-July 3rd, 6:00 PM-8:30 PM | Emerald Crossing VBS 2026
Christian Community Church
5719 N Montour Rd, Gibsonia, PA

Emerald Crossing is a FREE Kids Camp where there will be music, games, snacks, crafts, Bible lessons, and a live drama each night.
All kids age 3 (potty trained) through 6th grade (completed) are welcome!

Child's Name

Age (as of June 1, 2026)

Please select one option.

3 4 5 6 7 8 9 10 11 12 13

Grade Completed in 2025/2026 School Year

Please select one option.

None Pre-K K 1 2 3 4 5 6

Parent Name(s)

This address will receive a confirmation email

Phone

Address

Allergies

Medical or Special Needs

If your child has special needs, does he/she require one on one supervision?

Please select all that apply.

Yes No

Children will only be released for pick up after being signed out by an adult. If there is anyone who is NOT allowed to pick up your child please list their names below.

Church Attended

How did you hear about VBS?

Please select one option.

at CCC a friend Facebook CCC website Other

I give my permission for basic first aid if necessary. I understand I will be contacted if any further treatment is required.

Please select all that apply.

Yes No

I understand that by participating in VBS my child's photo may be included in a slideshow presentation that will be shown during VBS Sunday on 7/5/26. This presentation will not be shared on Social Media.

Please select all that apply.

I give my permission to publish photos containing my child on the church website/facebook page.

Please select all that apply.

Yes No

Name (Signature)

Description

June 29th-July 3rd, 6:00 PM-8:30 PM

Emerald Crossing VBS 2026
Christian Community Church
5719 N Montour Rd, Gibsonia, PA

Emerald Crossing is a FREE Kids Camp where there will be music, games, snacks, crafts, Bible lessons, and a live drama each night.
All kids age 3 (potty trained) through 6th grade (completed) are welcome!

VBS 2026 Registration

Description

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