NEW BETHEL BAPTIST CHURCH
Wednesday, October 18, 2017
Win People to Christ and Minister to all
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VBS Registration


 
Child's Name: 
Parent/Guardian Name: 
 
Address: 
       City:  State:  Zip: 
 
Phone Numbers
Home: 
Work:  
Cell:  
Email: 
 
Age Information
Birth Date:                           Last Grade Completed: (Pre-K,K-6) 
 
Medical or Other Information we need to know (i.e. Food allergies):
 
 
Emergency Contacts
 
Name: Phone:
Name: Phone:
 
Dismissal Information
 
Who May pick up your child at the end of each VBS day?
 
 
Other Information
Does your child attend Sunday School? (Y/N) 
If so, Where? 
 
If your child is visiting our church, who are they a guest of?
 
May we have permission to photograph your child? (Y/N)?  
 
 
May we have permission to use your child's photograph for the purpose of promotion?