VBS 2017 Registration
July 10th-14th | Glory Fellowship Baptist Church
175 Cordova Cut Off Rd, Jasper, AL 35501 | (205) 387-0500
Child's Name *
First and Last Name. Families with multiple children may register all children on one form.
Your answer
Classroom *
Last Grade Completed. If registering multiple children, check all that apply.
Parent / Guardian Name(s)
Your answer
Your answer
Phone Number
Your answer
Emergency Contact
At least one name and phone number other than listed above.
Your answer
Dismissal Information *
Who may pick up your child at the end of each day? (First and last names)
Your answer
Your answer
Does your child attend Sunday School? *
If yes, where?
Your answer
May we have permission to photograph your child for the purpose of promotion? *
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