VBS Registration
Thank you for choosing to attend Vacation Bible School at Central Baptist Church.
***Because of personalized child information, a separate registration form is required for each child attending VBS.
You will be emailed a copy of your registration to the email address provided below.
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Email *
Child's Full Name *
Parent/Guardian Full Name *
Address *
(street address, city, state, and zipcode)
Mailing Address
(if different)
Phone Numbers
Please provide applicable phone numbers
Mobile *
(include area code)
Home
(include area code)
Work
(include area code)
Age Information
Birth Date *
MM
/
DD
/
YYYY
Last Grade Completed in School *
Medical Information *
Medical or other information we need to know. (Please include any food allergies.)
Emergency Contacts
(other than listed above)
Names & Phone Numbers
Dismissal Information *
Who may pick up your child at the end of each VBS day?
Other Information
Does your child attend church regularly? If so, where? *
If your child is visiting our church, who is he/she a guest of?
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
A copy of your responses will be emailed to the address you provided.
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