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

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

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.
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