2022 VBS Registration

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

This address will receive a confirmation email

Phone

Mailing Address

CHILDREN YOU ARE REGISTERING

You can register up to 5 children on this form. If you are registering more, please complete a second form. Children must be 3 years of age by June 28 to participate in VBS.

Child #1 First & Last Name

Child #1 Date of Birth (MM/DD/YYYY)

Child #1: Any special needs, medical conditions, allergies, or other information VBS staff needs to know?

Child #2 First & Last Name

Child #2 Date of Birth (MM/DD/YYYY)

Child #2: Any special needs, medical conditions, allergies, or other information VBS staff needs to know?

Child #3 First & Last Name

Child #3 Date of Birth (MM/DD/YYYY)

Child #3: Any special needs, medical conditions, allergies, or other information VBS staff needs to know?

Child #4 First & Last Name

Child #4 Date of Birth (MM/DD/YYYY)

Child #4: Any special needs, medical conditions, allergies, or other information VBS staff needs to know?

Child #5 First & Last Name

Child #5 Date of Birth (MM/DD/YYYY)

Child #5: Any special needs, medical conditions, allergies, or other information VBS staff needs to know?

SAFETY INFORMATION

Who, other than then parent/guardian above, is allowed to pick up the child(ren)?

In case of emergency, who should we contact? Emergency contacts should be available to receive a call and able to respond during the days and time of VBS. Cell phone numbers are preferred.

Emergency Contact #1 Name

Emergency Contact #1 Phone

Emergency Contact #2 Name

Emergency Contact #2 Phone

OTHER INFORMATION

What church, if any, do you normally attend?

Would you like more information about Tremont Baptist Church?

Yes No, thanks

Description

June 27-July 1 9:00am-11:30am

This form is to register for Vacation Bible School 2022 at Tremont Baptist Church. Please complete the form and click submit. You will receive a confirmation email.

2022 VBS Registration

Description

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