Temple Baptist VBS 2025 Registration
Please complete all information on this form to the best of your ability. Your child is our main concern. If you have more than one child attending, you will need to submit a registration form for EACH child.
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Email *
Name of Parent/Guardian *
Will you be in attendance at VBS?
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Primary Contact Number & Type 
(if you have already submitted this info in a previous entry, just type 'same')
 *
Emergency Contact (other than you) - Name, relation, & phone number
(if you have already submitted this info in a previous entry, just type 'same')
 *
Child's Name: *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Age *
Grade Completed
Please tell us which day(s) your child will be in attendance. 
Check ALL that apply.
 *
Required
Does your child have any FOOD allergies? *
If YES, please explain
Does your child have any other medical conditions or concerns? *
If YES, please explain
If there is someone else who may pick up your child(ren), please list their name & contact information.
I grant VBS leaders permission to photograph/film the minor(s) previously listed for any lawful purpose associated with this VBS program. *
A copy of your responses will be emailed to the address you provided.
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