JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VBS 2023 Registration
New Beginnings Church
Monday, July 17th through Wednesday, July 19th
6:00pm to 8:30pm
Family Day (more details released at a later time)
Saturday, July 22nd
9am-11am
Ages 5-11
**Please register each sibling separately**
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Last name
*
Your answer
Child's First name
*
Your answer
Child's birth date
*
MM
/
DD
/
YYYY
Child's t-shirt size
*
Child Small
Child Medium
Child Large
Adult Small
Adult Meduim
Adult Large
Adult X-Large
Parent/Guardian's name
*
Your answer
Parent/Guardian's Phone number
*
Your answer
Parent/Guardian's Address
*
Your answer
Parent/Guardian's Email address
*
Your answer
Do you have other children attending VBS? If so, please list their names and ages.
*
Your answer
Does this child have any allergies we should be aware of? If so, please list them below.
*
Your answer
I agree to allow NBC to release photos of my child on any media, publication, or website.
*
YES
NO
Required
Please list an Emergency Contact (name and phone number) other than yourself.
*
Your answer
Are there any health concerns or additional information we should know about this child?
Your answer
How did you hear about us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New Beginnings Church.
Report Abuse
Forms
