VBS 2023: MEGA                                                               Wednesday Nights Beginning July 12 5:30-7:30pm Child Registration
By completing this form you are registering your children, rising Kindergarten - 5th Graders, to attend VBS at Temple Baptist Church beginning July 12 from 5:30-7:30pm on Wednesday nights.

Please complete one form for each child attending.
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Email *
Parent First and Last Name *
Phone Number *
Street Address *
City, State and Zip Code *
Child's First and Last Name *
Child's Birthday *
Child's Grade for the 2023-2024 School Year *
Please list any of your child's allergies or special needs.
Secure Password
As a measure of security each family will receive a  personal security card that will match each of your children's name tags at the registration table. This security card must be shown to pick-up your child at the end of the night. If you are unable to provide the security card we will use the password you enter below instead. This password will only be available to one member of our security team.
Please enter your password below. *
Who should we expect to pick up your child at the end of VBS each Wednesday night? Please list first and last name. *
Emergency Contact (Other than listed above) Name and Phone Number *
Does your child/family attend a church in the area? If so where?
If your child is visiting our church, who is he or she a guest of?
How did you hear about VBS?
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May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
We are so excited to have you at VBS: MEGA!! on Wednesday Nights!!! 
A copy of your responses will be emailed to the address you provided.
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