Transform Me, Transform the World
Westwood Baptist Church 2018 Vacation Bible School Registration
Email address *
Name: *
Your answer
Address: *
Your answer
Phone #: *
Your answer
Gender:
Age: *
Will this participant need transportation via the church van?
If yes to transportation, what days will transportation be required?
Where will this participant be picked up and dropped off? Please provide and address including zip code and any special instructions for the driver.
Your answer
Will you be attending the Family Fun Night/Pot Luck on Friday (July 20 from 6pm to 9 pm)? If yes, please list what you will bring. *
Will you/ your child be attending the Lock-In on Friday (*Ages 8-18 please)? *
If child's registration, Parent/Guardian Name and phone number.
Your answer
Does this participant have ANY ALLERGIES (including food)? If yes, please describe. *
Does this participant have any dietary restrictions? If yes, please describe.
Emergency Contact Information (Name, Phone #, relationship) *
Your answer
Do you give permission to have photos taken? *
Do you give permission to have photos used in printed materials/publications (i.e. newsletters, brochures, etc.)? No names will be used. *
Do you give permission to have photos posted, used in electronic communications including website and email (no name will be used)? *
Do you give permission to have video taken during Westwood Baptist Church activities, to be used in public forums (events and internet)? *
A copy of your responses will be emailed to the address you provided.
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