CHBC Vacation Bible School Registration Form 2021
Event Timing: June 6-10th, 2021 from 5:30-8:00 pm
Event Address: 4427 US-127 Crossville, TN 38555
Contact us at (931) 484-5523 or
Child's Name *
Parent/Guardian Name *
Address *
Phone Number(s) *
Email *
Child's Birth Date *
Last grade completed in school *
List any medical information we need to know (please include food allergies) *
Emergency Contact Names & Phone Numbers *
Who may pick up your child at the end of VBS each day? *
Do you/your child attend church anywhere? If so, where? *
If your child is visiting our church, who is he/she a guest of? *
May we have permission to photograph your child? *
May we have permission to use your child's photograph for promotion purposes? *
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