Vacation Bible School 2026

Name: 2026 Vacation Bible School
Start: 2026-07-05T18:30:00-04:00
End: 2026-07-10T20:30:00-04:00
Location: County Line Church Of The Brethren

Student Registration Form

County Line Church of the Brethren

July 5–10, 2026 | 6:30–8:30 PM

For children ages 4 through 6th Grade

Director Contact: Jackie Steiner — 814-279-7955

Child's Information

Child's first name

Child's last name

Child's age

Child's date of birth

Month

Day

Year

Child's grade

Parent / Guardian Information

Parent/Guardian name(s)

Home phone

Mobile phone

Email address

Emergency Information

Emergency contact 1 — name

Emergency contact 1 — phone

Emergency contact 2 — name

Emergency contact 2 — phone

Doctor's name

Doctor's phone

Allergies or special needs

Dismissal

Who may pick up your child at the end of each VBS day?

Pickup person 1 — name

Pickup person 1 — relationship

Pickup person 2 — name

Pickup person 2 — relationship

By submitting this form, the parent or guardian confirms the information provided is accurate and gives permission for the child to participate in Vacation Bible School 2026.

County Line Church of the Brethren1411 County Line Road, Champion, PA 15622

2026 Vacation Bible School

Sun, Jul 05

County Line Church Of The Brethren

Come Build Life with the Master

Time & Location

Jul 05, 2026, 6:30 PM – Jul 10, 2026, 8:30 PM

County Line Church Of The Brethren, 1411 County Line Rd, Champion, PA 15622, USA

County Line Church of the Brethren

P.O. Box 86 1411 County Line Road, Champion, PA 15622

Sharing God's Love in Word and in Action!