SonWest Roundup VBS Pre-Registration
Please use this form to pre-register your child for Vacation Bible School at Jamestown Baptist Church. If you have any questions regarding VBS please contact the church office at 616-896-8294 or office@jamestownbaptist.org.

If you experience any problems with this form or are unsure if it submitted successfully please contact Jon Tilma at jtilma@jamestownbaptist.org.

Thank you for pre-registering!

Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade Entering in Fall 2018 *
Please choose the grade your child will be entering in the 2018-2019 school year.
Street Address *
Your answer
City *
Zip Code *
Your answer
First and Last Name of Parent/Guardian *
Please only list 1 parent/guardian's name
Your answer
Parent/Guardian Phone Number *
Please enter in the format 616-555-1212
Your answer
Parent/Guardian Email Address
Be sure to fill this out if you want to receive a copy of the video of your child’s week at VBS!
Your answer
Emergency Contact Name *
Please enter the contact information of the person we should contact if we are unable to contact the parent/guardian listed above in the event of an emergency involving the child listed above.
Your answer
Emergency Contact's Relationship to Child *
Emergency Contact's Phone Number *
Please enter in the format 616-555-1212
Your answer
Allergies / Medical Concerns *
Please check all that apply. This is a required question. If there are none please choose "None" from the list.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms