VBS 2019 Registration Form
Join us June 10th - 14th, 2019 for Vacation Bible School. Boys and girls 3 years old through 6th grade are welcome. The program starts at 6:30 PM and concludes at 8:30 PM.

To register your child online, please fill out the form below. Children in the same family must be registered individually.

Child Information
Child's Name *
Your answer
Address *
Your answer
Gender *
Age *
Birthday *
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Grade Completed *
Medical Conditions *
Does your child have any food allergies and/or activity restrictions?
Your answer
Would you like to have your child picked up by one of our church vans?
Parent/Guardian Information
Parent/Guardian Name *
Your answer
Phone Number *
Your answer
Email
Your answer
How did you hear about our VBS? *
Permission/Waiver *
I give my permission for my child, named above, to participate in the Vacation Bible School Program June 10-14, 2019 at Cornerstone Baptist Church, and to engage in all Bible and recreational activities that are involved. I agree to be responsible for the expense of medical aid where not covered by the accident insurance policy held by Cornerstone Baptist Church.
Required
Today's Date
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