Vacation Bible School Registration

Union Baptist Church Backyard VBS

Registration Form (please register by July 24th!)
Child #1

First Name Last Name Grade Completed
Child #2

First Name Last Name Grade Completed
Child #3

First Name Last Name Grade Completed
Child #4

First Name Last Name Grade Completed
Parent/Guardian: *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone:

Area Code Phone Number
Cell Phone: *

Area Code Phone Number
E-mail: *
Are you a member of Union Baptist Church?
If not, do you have a home church?
Pickup for VBS bags

will take place Saturday, July 25 at 2 pm in the Union Baptist Church parking lot 119 High Street, Mystic, CT
Should be Empty:

Union Baptist Church Backyard VBS