2017 Bellview Baptist Church VBS
July 31 - August 3, 5:45 - 8:30pm
Child's Name *
Your answer
Parent / Guardian Name *
Your answer
Address (city, state, zip code) *
Your answer
Mailing Address (if different)
Your answer
Home Phone *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Last grade completed in school *
Medical or other information we need to know. (Please include any food allergies.) *
Your answer
Emergency Contact 1 Name (Other than listed above) *
Your answer
Emergency Contact 1 Number *
Your answer
Emergency Contact 2 Name *
Your answer
Emergency Contact 2 Number *
Your answer
Who may pick up your child at the end of each VBS day? *
Your answer
Does your child attend Sunday School? *
If you answered yes, where?
Your answer
If your child is visiting our church, who is he a guest of?
Your answer
May we have permission to photograph your child? *
May we have permission to use your child’s photograph for the purpose of promotion? *
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