Pecks Baptist Church VBS 2025 Registration Form - Wonder Junction
Howdy, partners! Welcome to Wonder Junction! There’s no greater joy than to praise the name of the Lord all day long. But how can yer kids do that if they don’t know who Jesus is or what he’s done for them? June 8-12 we will be heading to Wonder Junction, where we will marvel at Jesus and live for his glory.
Attendee Information
If you or your child would like to participate in this event as a participant, please complete the following form.
Participant's Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Parent/Guardian Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Last Grade Completed
*
Allergies, Medical, and Special Needs (Leave Blank if None)
Emergency Contact Name (1)
*
Emergency Contact Phone (1)
*
Emergency Contact Name (2)
Emergency Contact Number (2)
Authorized Pickup #1
*
Authorized Pickup #2
Authorized Pickup #3
Authorized Pickup #4
Are you a member of this church?
Yes
No
Do you attend church?
Yes
No
May we have permission to photograph your child?
Yes
No
May we have permission to use your child's photograph in church publications?
Yes
No
Comments:
Submit
Should be Empty: