VBS Registration
Event Timing: Saturday June 17-21, 2018 9am to 12pm M-F
Event Address: 2900 Ralph Avenue, Louisville, KY 40216

If you need transportation Contact us at (502) 447-2061

For any other questions or info email: contact@ralphavenuebaptist.com

Email address *
Child Name *
Your answer
Child Birth Date *
MM
/
DD
/
YYYY
Last Grade Completed *
Required
Parent/Gaudian Name *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
Medical or other information we need to know. (Please include any food allergies.) *
Your answer
Emergency Contacts (other than listed above) Please List Name and Phone Number *
Your answer
Who may pick up your child at the end of each VBS day? *
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? *
Does your child attend Sunday School?
If so, where?
Your answer
If you need more info or transportation contact 502-447-2061.
A copy of your responses will be emailed to the address you provided.
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