VBS Registration 2019
June 10-14
Greater Community Missionary Baptist Church
126 E Park Row
6:00-8:15 pm - classes and lots of fun
for children, youth AND adults!
Adult's Name (if registering for Adult VBS Class)
If only registering adults, you can skip the rest of the questions!
Your answer
Student's Name
Your answer
Student's Age
Your answer
Student's Date of Birth
Your answer
Parent/Guardian Name
Your answer
Street Address
Your answer
City, State, Zip Code
Your answer
Home Phone Number
Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email Address
Your answer
Does your child have any allergies/medical conditions? If yes, please list.
Your answer
Emergency contact person(s) & phone numbers
Your answer
Photos taken during VBS may be used on the church's website and Facebook page. Please type the parent/guardian name to indicate approval.
Your answer
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