Vacation Bible Camp Registration for Campers 2025

Last Name REQUIRED Please fill out this field. Please enter valid data.

Are you: REQUIRED A returning family at St. Johns Bible Camp First time registering for St. Johns Bible Camp Please fill out this field.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Family name if different from child Please enter valid data.

Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Cell Phone REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Father's Name Please enter valid data.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Cell REQUIRED Please fill out this field. Please enter a phone number.

Grandparent name (if applicable) Please enter valid data.

Grandparent Cell (if applicable) Please enter a phone number.

Children REQUIRED Please fill out this field.
Child 1
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Allergies REQUIRED Please fill out this field.
Child 2
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Allergies REQUIRED Please fill out this field.
Child 3
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Allergies REQUIRED Please fill out this field.
Child 4
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Allergies REQUIRED Please fill out this field.

T Shirt Size/Sizes REQUIRED small medium large xlarge 2xlarge 3xlarge Please fill out this field.

I give permission for my children to be photographed and/or video recorded for VBC At St. John the Evangelist in Goshen. I understand that any pictures or tapes may not be used in public,social media, etc…and in the making of DVD’s or souvenirs.

I Agree Please select this field.

church of St. John the Evangelist

Goshen, New York

Vacation Bible Camp Registration for Campers 2025

EXPLORING THE ISLANDS WITH JESUS-2025

***VOLUNTEERS USE VOLUNTEER FORM ONLY!!..DO NOT LIST BELOW.

Bottled water and snack is provided daily. If you have food allergies, feel free to bring your own snack.