Vacation Bible School Registration
VBS at HBC
Sign up below to register for Vacation Bible School
Parent or Guardian Name *
Your answer
Birthday *
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Address *
Your answer
Phone number
Your answer
Email Address
Your answer
Would you like to register for the Adult VBS Class? *
Do you attend a church? *
If so, where do you attend regularly?
If you are visiting our church, who are you a guest of?
Your answer
Dismissal Information *
Please list the names of anyone who is permitted to pick up and leave with your child or children at the end of each day. (Please separate each name with a comma)
Your answer
Emergency Contact *
Your answer
Phone Number *
Please enter the Emergency Contact's phone number
Your answer
Child's Name *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Child's age or grade (just completed) *
Medical or Diet information *
Please let us know of any allergies or medical information we should be aware of.
Your answer
Questions, Comments, or Concerns?
Your answer
Would you like to add another child? *
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