VBS Registration | Glen Burnie Baptist Church

Glen Burnie Baptist Church Vacation Bible School Registration Form 2019

Date*
Date Format: MM slash DD slash YYYY
Child's Name*
First Last
Parent's Name*
First Last
Home Address*
City*
State*
ZipCode*
Home Phone
Cell Phone*
Work Phone
Email
Child's Birth Date*
Last Grade Completed (Kindergarten - 5th grade)*
Medical, Allergies or other Information (or N/A)*
Insurance Information
Emergency Contacts (Other than listed above)*
Who may pick up your child from VBS each day?
Does your child attend Sunday School?
- Yes
- No
If Yes, Where?
If your child is visiting our church, who's guest are they?
May we have your permission to photograph your child?*
- Yes
- No
May we have your permission to use your child's photograph for promotional purposes?*
- Yes
- No