VBS Registration 2023
Central Baptist Church
Theme: “Twists & Turns"
Open to Kids: Ages 4-year-olds through 5th Grade
Register NOW! (Kindergarten and 1st Grade groups are full)
Dates: August 6-11 (6:00 p.m.)

Family Night will be Sunday Evening, so come enjoy some fun with your kids! RSVP for Family Fun Night here:
Family Fun Night RSVP
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Child's First Name *
Child's Last Name *
Age *
Last Grade Completed (Kindergarten & 1st Grade registration is closed) *
Address *
City *
State Abbreviation *
ZIP Code *
Parent/Guardian Name *
Email Address *
Phone Number *
Alternate Phone Number *
Other Parent/Guardian Name *
Phone Number *
Medical/Medication/Allergies (Please List) *
Please list any medical conditions, mediations or allergies that your child has that we need to be aware of or the word NONE.
Who may pick up your child at the end of each VBS day? (Please list all names) *
In the event that I nor any of those I have authorized to pickup my child, I authorize the VBS to release my child to a person who provides the following secret code.  I understand that my child does not need to know the code. *
Secret Code *
Where do you attend church? *
May we photograph your child and use their likeness on social media? *
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