UBC Vacation Bible School 2021 Registration
VBS Dates: June 7th to June 11th
Registration Daily @ 8:30am/ VBS 9am to Noon
VBS Parent Night Date: Thursday, June 10th @ 6:15pm

*At the first day of registration, there will be a Covid-19 form to fill-out & sign for parents/guardians*

University Baptist Church
904 Menard St.
Thibodaux, LA 70301

If you have any questions regarding VBS, please contact UBC Church Office @ (985) 446-5818
Email *
Vacation Bible School 2021 Theme
Child's Name (first & last) *
Child's Birthday *
MM
/
DD
/
YYYY
Last Grade Completed in School *
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Contact Number *
Medical or other information we need to know. (Please include any food allergies.)
Emergency Contact Name *
Emergency Contact Relation to Child *
Emergency Contact Phone Number *
Who may pick up your child at the end of each VBS day? *
Does your family attend church? If so, where?
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
VBS T-Shirt Size/ Shirt cost will be $10 each. Pay at registration. List the size(s) you'd like. Yes, parents/guardians can even purchase one! *
Required
Any questions, comments, concerns?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.