VBS Registration

Baptist Center Church VBS 2017 Registration Form

* Indicates required field

Child's Contact Info *

First

Last

Email of parent/guardian *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number of parent/guardian *

Birthday *

Gender *

Do you attend a local church *

Yes, I attend Baptist Center Church Yes, I attend another local church No, I don't attend a church

Emergency contact for child (Names and Cell numbers) *

Allergies/Medical Issues *

Grade *

Submit