VBS Registration 2018
June 24 - 28
5:30 - 8:00pm
Mexia Baptist Church
165 Old Salem Rd
251.575.4398
office@mexiabaptistchurch.com
Child's Name *
Your answer
T-Shirt Size (Free only on April 29 & June 3) *
Parent/ Guardian *
Your answer
If you have a P.O. Box please list a physical address as well.
Address (street, city, St, zip code) *
Your answer
Phone Numbers (one you can be reached at) *
Your answer
Email *
Your answer
Age Info
Birthdate *
MM
/
DD
/
YYYY
Last Grade Completed *
Age
Medical Info
Any medical info we need to know including food allergies. *
Your answer
Emergency contacts (besides ones above) *
Your answer
Who may pick up your child at the end of each VBS day? *
Your answer
Does your child attend Sunday School?
May we have permission to photograph your child? *
We look forward to seeing your child at VBS here at Mexia Baptist. It is such a great week that we are praying will impact your child's life!
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