2024 VBS Pre-Registration Form
This is the pre-registration form for Vacation Bible School at Walnut Memorial Baptist Church on June 2nd - 6th, 2024. Please fill out this form completely and submit to register your student for VBS!
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Student Name

*If you are registering as a leader, write your own name*
Parent/Guardian Name 

*Leaders may write “self”*
Phone Number *
Email Address *
Home Address *
Grade Level  *
What grade did your student just complete?
Gender *
Does your student have any allergies? Please describe below.
Are there any additional instructions our leaders need to best care for your student?
Emergency Contact Name and Phone Number *
I understand that my student may be photographed or video recorded at this event and am giving consent for my child to be included in photos, videos, and other publications in connection with Walnut Memorial Kids Ministry.
T-Shirt Size

*Must be submitted by May 5th to guarantee a shirt*
Need additional shirts? Let us know how many of each size below!
(i.e. 2 - Adult Large, 1 - Adult XL)
T-Shirts are $10.00 each. This cost can be paid at the church, or to pay online, click here! Just select "Give one time" then ensure the dropdown says "Designated Church Fund" and include "VBS Shirts" in the Memo Line! *
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