VBS-Form - Daleville Baptist Church

Monday June 10th - Friday June 14th
8:30 A.M. - 12 P.M.

VBS Registration Form

* Indicates required field

Child's Name *

First

Last

Parent/Guardian's Name *

First

Last

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Email *

Birthday *

Last Grade Completed *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Medical or other information we need to know. (Please include any food allergies.) *

Emergency Contact Names & Phone numbers *

Who may pick up your child at the end of each VBS day? *

Does your child attend Sunday School? If so where? *

If your child is visiting our church, who is he a guest of? *

May we have permission to photograph your child? *

Yes No

May we have permission to use your child’s photograph for the purpose of promotion? *

Yes No

Submit