Big Creek Baptist Church - Vacation Bible School Registration
Sunday July 15 – 19
6:00 p.m. - 8:30 p.m.

For Children: Age 4 - 6th Grade (Grade Fall 2018)

FIRST AND LAST NAME *
Please fill out a separate registration for each child.
Your answer
ADDRESS *
Your answer
EMAIL ADDRESS *
Your answer
PARENT NAME *
Your answer
Emergency Contact Phone: *
Your answer
Child's Age / Grade (Fall 2018) *
Required
Medical Information: none
Please provide any medical or other information we need to know (Please include any food allergies).
Your answer
Dismissal Information
Who may pick up your child from VBS?
Your answer
You may photograph my child *
Required
You may use my child's photograph in church publications. *
Required
I would like for the church bus to pick up my child for VBS *
Required
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