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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