VBS 2022 Registration Form
Hyde Park Baptist Church | 709 Wallace Dean Road | West Monroe, La 71291
Saturday, August 6, 2022 9:50 AM-2:30 PM
Ages PK through 6th grade. Lunch and a snack will be provided. There is no charge to attend this VBS, but each child must be registered.
*PARENTS PLEASE RETURN AT 1:30 FOR CLOSING CEREMONY.*
Sign in to Google to save your progress. Learn more
Parent/Guardian Name *
Parent/Guardian Emergency Contact # *
Street Address with City/State ZIP *
Child 1 Name *
Child 1 Age Group (grade completed) *
Child 2 Name
Child 2 Age Group (grade completed)
Child 3 Name
Child 3 Age Group (grade completed)
Child 4 Name
Child 4 Age Group (grade completed)
Child 5 Name
Child 5 Age Group (grade completed)
Special Needs or Food Allergy Information
If someone other than a parent will be picking up your child, please list them below (limit 2):
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy