Center View VBS 2025

Center View Baptist Church - 3993 E. Maiden Road, Maiden, NC
Telephone: 828-428-3086

VBS Student Information

Child's Name

Age

Date of Birth

Last Grade Completed

Parent/Guardian

Phone Number

Area CodePhone Number

Email Address

example@example.com

Child's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact

Phone Number

Area CodePhone Number

Siblings Attending VBS

Name

First NameLast Name

Dismissal

Who may pick up this child?

First NameLast Name

Relationship to child

Who may pick up this child?

First NameLast Name

Relationship to child

Medical Information

Does your child have any food allergies? Type "none" if there are none

Does your child have any other allergies? Type "none" if there are none

Does your child have any special needs? Type "none" if there are none

Additional Information

VBS photos/videos are taken for promotional purposes related to Center View Baptist Church and our Vacation Bible School. These pictures may appear in various media outlets such as our facebook page and webpage. Do you allow your child to be photographed and included?

YesNo

School Registration Permission

By submitting this form, I ackowledge I have read and understand the above information.

Parent/Guardian

First NameLast Name

Date

Center View Baptist Church - 3993 E. Maiden Road, Maiden, NCTelephone: 828-428-3086

Center View Baptist Church - 3993 E. Maiden Road, Maiden, NC
Telephone: 828-428-3086