Kids Camping Registration

Grace Valley Baptist Church VBS Registration
Parent/Guardian Information
Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number*

Area CodePhone Number
Child Information
Child's Name*

First NameLast Name
Age During VBS*
Gender*
Birth Date*

MonthDayYear
List allergy concerns: (If any)
List medical concerns: (If any)
Emergency Phone #:*
Emergency Contact Relationship:*
Child's Address*

Same as aboveDifferent
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Pictures will be taken of the children during the VBS program for our website. If you do not want your child's photo posted on our website/Facebook page, please email us at kidsgvbc@gmail.com. If you have any questions you can reach us at kidsgvbc@gmail.com. We are looking forward to a great VBS 2025!!!! Allan and Sarah Evans
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Grace Valley Baptist Church VBS Registration