STUDENT REGISTRATION
VBS Dates: Sunday, June 13 - Thursday, June 17, 2021
VBS Time: 6 PM to 8:30 PM   (Check In begins at 5:30PM)
Address: Countryside Baptist Church - 1201 Noel C. Conaway Road - Guyton, GA. 31312
Contact us at (912) 728-3253 or pastorbill@churchforfamilies.com

***Please note: This is for children who have completed Kindergarten through 5th grade.***
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Please list your children's full name and grade completed. For Example: Zachary Homan 4th *
Parents Names: *
Address: *
Parents Email: *
Contact Number: *
Special Needs / Allergies: *
I give permission for photographs of the persons listed above to be used in publications of Countryside Baptist Church (including the church website and Facebook pages.) I understand that these photos may be viewed by anyone but no identifying information will be displayed. If you agree, please give us your full name and date of acknowledgement: *
Child Pick Up Policy: Every child must be signed out by the designated adult before he or she is permitted to leave. *
Please list any names of people who are allowed to pick up your children in your absence: *
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