Vacation Bible School Registration 2019
Into the Wild: Amazing Encounters with Jesus
VBS: July 8-12 @ 8:30 am - 11:30 am
Date of Birth:
Last Grade Completed in School
Parent/ Guardian Information:
Medical or Other Information We Need to Know
Emergency Contact Information
Please list a secondary contact person other than the one stated above
Name & Relationship
Who will be picking your child up at the conclusion of VBS each day?
Name & Relationship:
Do you attend a church in the area?
If no, would you like to receive additional information about Antioch Baptist Church?
How did you hear about Antioch Baptist Church?
May We Have Permission to Photograph Your Child?
May We Have Permission To Use Your Child's Photograph For The Purpose Of Promotion? (i.e. Facebook, Instagram, Website)
We have a special guest attending our VBS on Thursday, July 11
Dan the Animal Man will be bringing wild life animals and doing a Gospel Presentation @ 10 am in the Fellowship Hall. You are welcome to join us on that day.
Contact VBS Director Chase Greeson
Send me a copy of my responses.
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