Southside Baptist Church—VBS 2021
Pre-register your child for VBS by filling out this form.  Your information will not be shared.
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Child's Name *
Date of Birth *
Last Grade Completed *
Parent/Guardian *
Siblings Attending? (Please include their names and ages)
(Save time by registering all your children with one form)
Street Address *
City *
State *
Zip *
Best Phone to Reach Parent/Guardian *
Email address
Emergency Contact Name and Number *
Special Needs/Allergies/Other Concerns
Is there a friend your child would like to be with?
We cannot guarantee your child will be in a group with their friends, especially if their friend is a different age.  We will try to honor your request.
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