Bethlehem Baptist Church Vacation Bible School Registration - 2019
Event Dates: July 29th - August 2nd, 2019 6:15 pm - 8:15 pm
Event Address: 16167 CR 665 Farmersville, TX 75442
Contact us at (972) 784-2300 or secretary@lighthouseinthecountry.org
VBS Director: Joyce Hawkins 214-603-8434 (call or text)

If your child needs a ride, we will be picking up children each night from Feagin's parking lot. The church bus and van will be in the parking lot beginning at 5:45 pm, leaving at 6:00 pm and dropping them back off at Feagin's around 8:30 pm.

Child's Information
One form per child
Child's Name *
Your answer
Age Information
Child's Birth date *
MM
/
DD
/
YYYY
Grade Completed *
Parent or Guardian Information
Name *
Your answer
Address *
Your answer
City *
Your answer
State/Province *
Your answer
Zip/Postal Code *
Your answer
Phone Number *
Your answer
Cell Phone Number
Your answer
Email
Your answer
Child's Medical Information
Medical or other information we need to know. (Please include any food allergies.) Please write "NA" if your child doesn't have any allergies or conditions we need to know about.
Food Allergies & Medical Information *
Your answer
Emergency Contact
(other than listed above)
Name *
Your answer
Phone Number *
Your answer
Cell Phone Number
Your answer
Dismissal Information
Who can pick up your child at the end of each VBS day? Will they be riding the church van back to Feagin's parking lot after VBS?
How will your child get home each night? *
Names & Numbers of others that can pick up your child
Your answer
Other Information
Does your child attend Sunday School? If so where?
Your answer
If your child is visiting our church, who is he/she a guest of?
Your answer
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
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