Cowabunga Coast- VBS 2026

The official registration form for "Cowabunga Coast" VBS at Edgewater Alliance church.

Monday June 8 - Thursday June 11
5:30pm - 8pm
For all children grades K - 5th grade.

Please register your child/ren in the grade they just completed (2025/26 school year).

Dinner & a snack will be provided for free each night from 5:30-5:50pm (gluten free options available each night)
Meals will be:

Monday - Chicken Nuggets
Tuesday - Pancakes
Wednesday - Mac & Cheese
Thursday - Pizza

**Please note - we have limited space for Pre-K. We will contact you after you register if we have space for your child.**

Your name *

Email address *

Phone number

Emergency Contact & Phone Number (other than listed above) *

Name of other Adult/s Approved to Pick Up Child/ren *

Does your family attend Edgewater Alliance Church? *

Yes

Do you consent to your child/ren being photographed and videoed as a part of VBS and it may be used on EAC's website and social media. *

Yes

Child #1 Name *

Child #1 Gender *

Child #1 Birthdate *

Child #1 Grade *

Child #1 School *

Does Child #1 have any medical notes or sensory-related/extra care needs? *

Child #2 Name

Child #2 Gender

Child #2 Birthdate

Child #2 Grade

Child #2 School

Does Child #2 have any medical notes or sensory-related/extra care needs?

Child #3 Name

Child #3 Gender

Child #3 Birthdate

Child #3 Grade

Child #3 School

Does Child #3 have any medical notes or sensory-related/extra care needs?

Child #4 Name

Child #4 Gender

Child #4 Birthdate

Child #4 Grade

Child #4 School

Does Child #4 have any medical notes or sensory-related/extra care needs?

Child #5 Name

Child #5 Gender

Child #5 Birthdate

Child #5 Grade

Child #5 School

Does Child #5 have any medical notes or sensory-related/extra care needs?

A copy of your responses will be sent to your email address.