VBS Registration
This form is for pre-registration for Vacation Bible School at Kings Avenue Baptist Church. There is NO COST for this registration now or on the date of the event. KABC will never share your personal information with any else.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Gender *
Student's Birthdate *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
2019-2020 School Grade Level *
Parent/Guardian Name *
Your answer
Parent/Guardian Home Phone
Your answer
Parent/Guardian Cell Phone
Your answer
Parent/Guardian Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship to Student *
Emergency Contact Phone *
Your answer
Home Church
Your answer
Food Allergies
Your answer
Social or Medical Concerns We Should Know About
Your answer
Submit
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This form was created inside of Kings Avenue Baptist Church.