Vacation Bible School 2019 Haven Baptist Church IN THE WILD
Join us for VBS 2019
Haven Baptist Church.
1840 Slaughter Road, Madison, AL 35758

Monday, June 24 - Friday, June 28
9 AM to Noon
Kindergarten - 6th grade

Theme: In the Wild: Amazing Encounters with Jesus
Motto: Zoom in! Focus on Jesus!
Bible Verse: John 20:31
But these are written so that you may believe that Jesus is the Messiah, the Son of God, and that by believing you may have life in his name.

We'd appreciate early registration.

Contact Cindy Fry with questions

Thank you. See you this summer at VBS!

Email address *
Parent's/Guardian's Name *
Your answer
Parent's /Guardian's Home Address *
Your answer
Parent's / Guardian's Phone Number *
Your answer
How many children are you registering for VBS (including nursery for workers' kids)? *
Child 1's Name *
Your answer
Child 1's Grade (grade just completed) *
Child 1st Birth Date *
Your answer
Child 1st Medical / Allergy Information *
Your answer
Child 2's Name (If only registering 1 child, skip to #10)
Your answer
Child 2's Birth Date
Your answer
Child 2's Grade (grade just completed)
Child 2's Medical / Allergy Information
Your answer
Child 3's Name
Your answer
Child 3's Grade (grade just completed)
Child 3's Birthdate
Your answer
Child 3's Medical / Allergy Information
Your answer
Please list other children you are registering here. Include birthdate, completed grade, and medical information.
Your answer
Emergency Contact and Phone Number *
Your answer
Persons who may pick up the child(ren) other than the person who registered them. *
Your answer
Do you and your family belong to a church where you regularly worship? *
If yes, what church?
Your answer
Are you a visitor of a member of Haven Baptist Church? If so, who?
Your answer
Do we have your permission to photograph your child? *
Do we have your permission to use photos of your child for church materials (including church social media and website)? *
Any additional information the VBS workers need to know regarding your child and VBS? No :)
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service