Register a Child
VBS / Washington Avenue Baptist Church, August 11-13, 2025
Child's First and Last Name
*
First Name
Last Name
Home Church (type "none" if there is none)
*
Age
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Select class group. (Hint: Which grade will they enter in fall 2025?)
*
9-12 grade
How did you hear about us?
*
Please Select
Social Media
Flyer
Church
Word of Mouth
Other
Parent/Guardian's First and Last Name
*
First Name
Last Name
Address
*
Street Address
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Contact's First and Last Name
*
First Name
Last Name
Relationship to child
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Food Restrictions / Allergies? Type "none" if there are none.
*
Does your child use an EpiPen? If yes, be sure to bring it with them at time of drop off.
*
Yes
No
Person responsible for pickup after VBS
*
First Name
Last Name
Their phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Their relationship to the child
*
VBS T-shirt size (Note: There is no cost for these shirts)
*
Small
Medium
Large
X-Large
2X-Large
3X-Large
I do not want a free T-shirt
I acknowledge that photos/videos will be taken for promotional purposes related to WABC's Vacation Bible School. These pictures may appear in local news, WABC social media, and our webpage. The photos/videos will only be used to show the many ways our children and youth can have fun while participating in the VBS program.
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I agree
I acknowledge that my child may be asked to place their smartphone in a cubby/basket during instruction time to limit classroom distractions.
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I agree
I acknowledge and accept the risks of physical injury associated with participation in all games and activities. I accept personal financial responsibility for any injury or illness stemming from this VBS and further, will hold harmless Washington Avenue Baptist Church or any of their representatives for any injury or illness stemming from VBS. I agree that my child is participating in this VBS at their own risk. I acknowledge that if my child walks home, Washington Avenue Baptist Church will be held harmless from all liability.
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I agree
By submitting this form, I ackowledge that I have read and understand the above information.
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Submit
Submit
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