Amissville Baptist Church / Vbs Registration / Registration

Vacation Bible School Registration Form

Child's Name

Your contact info:

Email Address

Child's date of birth

Child's age

Last school grade completed as of June 2017

Phone Number

What is the best way to reach you?

Email

Phone

Please enter your full address:

Street Address

City

State

Zip Code

Emergency Contact Information

Mother's (or Gaurdians) Name

Mother's (or Gaurdians) Evening Phone

Father (or Gaurdians) Name

Father (or Gaurdians) Evening Phone

Allergies or Other Medical Conditions

Home Church

We will be taking photographs of various activities and events during Vacation Bible School. These photos may be displayed on the church's website, Facebook page, monthly newsletter, bulletin board, and the VBS photo CD. We will not publicize photos of your child/children without your consent. Please indicate your preference below.

Yes, Amissville Baptist has my permission to use photos of my child

No, Amissville Baptist DOES NOT have my permission to use photos of my child

Additional Information

Event Registration