Oak Grove Baptist VBS 2023

Oak Grove Baptist Church

691 Princess Anne Rd Va Beach VA 23457 7574262782 Pastor Chuck Moseley
Oak Grove Baptist VBS 2023

Fill out the form carefully for registration. Please complete one form per child. July 31-August 4 8:30 AM-12:00 PM
Student Name

First NameLast Name
Gender
Student Birth Date

MonthDayYear
Please select the option that best fits your child.

4 years old5 years old-Has not completed KindergartenCompleted KindergartenCompleted 1stCompleted 2ndCompleted 3rdCompleted 4thCompleted 5thMiddle School/High School Volunteer
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Email
example@example.com
Parent Number
Allergies/Known Medical Conditions
Additional Emergency Contact Information (Name and Number)
Adult(s) Authorized to Pick Up Child at 12:00 Noon
Church Member Location
Will there be additional children registering from the same household?
Child Shirt Size

Youth SmallYouth MediumYouth LargeYouth XL/Adult SmallAdult MediumAdult LargeAdult XL
Should be Empty:

Oak Grove Baptist Church