CBWC VBS Registration: VBS runs July 26-30
(One Form Per Child)
Chocolate Bayou Worship Center
Vacation Bible School 2021
Monday, July 26th-30th
10:00 am – 1:00 pm, Ages 4–12 years
Email *
Name of Parent or Guardian *
Main Contact Number *
Emergency Contact Number *
Name of Child *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Allergies or Medical Concerns
In the event reasonable attempts to contact me at the numbers above have been unsuccessful, I hereby give my consent for emergency treatment for my children who become ill or injured. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Chocolate Bayou Worship Center. Report Abuse