Vacation Bible School Registration 2024
Sunday, June 9 - Thursday, June 13 6:00-8:30pm
Family Information
This information will apply to all kids registered on this form.
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you attend Nall Avenue Baptist Church?
Yes
No
Other
If other, what church do you attend?
What adults are able to pick kids up after VBS?
Child #1 Name
First Name
Last Name
Child #1 Birthdate (Must be 4 by June)
-
Month
-
Day
Year
Date
Child #1 COMPLETED Grade
Preschool (Must be 4 by June)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #1 Allergies or Other Notes
Child #2 Name
First Name
Last Name
Child #2 Birthdate (Must be 4 by June)
-
Month
-
Day
Year
Date
Child #2 COMPLETED Grade
Preschool (Must be 4 by June)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #2 Allergies or Other Notes
Child #3 Name
First Name
Last Name
Child #3 Birthdate (Must be 4 by June)
-
Month
-
Day
Year
Date
Child #3 COMPLETED Grade
Preschool (Must be 4 by June)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #3 Allergies or Other Notes
Child #4 Name
First Name
Last Name
Child #4 Birthdate (Must be 4 by June)
-
Month
-
Day
Year
Date
Child #4 COMPLETED Grade
Preschool (Must be 4 by June)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #4 Allergies or Other Notes
VBS T-Shirt and VBS Music CD -- Please select size and quantities. If you do not want a t-shirt or you would like to pay cash, please scroll down to select those options. Option to purchase a CD is also at the bottom.
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( X )
VBS Youth XS
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Youth Small
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Youth Medium
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Youth Large
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Youth XL
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Adult Small
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Adult Medium
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Adult Large
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Adult XL
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Adult XXL
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Adult XXXL
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
I do not want a t-shirt or CD.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
I would like a t-shirt, but need to pay cash.
Please email lizzy@nallave.org to let her know what sizes you need and that you will be paying cash so shirts can be set aside for you.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
VBS Music CD
$
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: