VBS Registration

Vacation Bible School
MOnday, June 12-Thursday, JUne 15 6-8:30 p.m.

All children from preschool (age 3) - fifth grade are welcome!
Fill out this form to preregister so you can go straight to the fun when you arrive!
If you are registering more than one child from the same household,
it may be easier to simply fill out the form for the first child, and then add the name,
date of birth, last grade completed, and medical information
for the other children in the comment box.

* Indicates required field

Name (of child) *

First

Last

Date of Birth *

Last Grade Completed *

Parent/Guardian *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

In case of emergency, contact *

Emergency Contact Phone *

Allergies or Other Medical Conditions *

I hereby grant permission to Colonial Avenue Baptist Church to use photographs or videos containing images of my child on its website, Facebook page, or in other official church printed publications without further consideration. *

Yes No

Comment *

Submit

Vacation Bible SchoolMOnday, June 12-Thursday, JUne 15 6-8:30 p.m.

Vacation Bible School
MOnday, June 12-Thursday, JUne 15 6-8:30 p.m.