VBS Registration
Please complete a form for each child that will be attending VBS at Grace Baptist Church. Feel free to contact the church with any questions by calling (812) 254-3459.
Child's Name *
Your answer
Birth date *
MM
/
DD
/
YYYY
Grade Completed (or age if not in school) *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Parents/Guardian Name *
Your answer
Contact Phone Number *
Your answer
E-mail
Your answer
Emergency Contact (please list name, relationship to the child, and contact number if different from above) *
Your answer
Name of Home Church if other than Grace Baptist
Your answer
Food Allergies *
If there are food allergies, what are they and what is the reaction?
Your answer
Medical Concerns (please list anything you feel would be important)
Your answer
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