Illumination Station VBS 2026 Registration

Illumination Station
Grace Fellowship
4700 Victory Dr. Marshall, TX 75672
July 13th - 17th
9:00 AM - 12:00 PM
K4 - 5th grade

Child's Name

Child's Age

Child's Birth Date

Child's Grade Completed

T-Shirt Size

Parent/Guardian Name(s)

This address will receive a confirmation email

Phone

Preferred Contact Method

Address

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone Number

2nd Emergency Contact Name

2nd Emergency Contact Phone Number

Allergies or Special Needs

Dismissal

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

Name

Relationship to Child

Name

Relationship to Child

Description

Please fill out this form and click submit.