Calcedonia - VBS 2025

2025 Calcedonia Baptist VBS

Please fill out one form for each child.
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
MaleFemale
Grade going into in August 2025*
Parent Phone Number*
Format: (000) 000-0000.
Primary Guardian*

First NameLast Name
Parent E-mail*
example@example.com
Alternate phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact - Please list the first and last names, along with phone numbers of ALL adults who are allowed to pick up your child. The child will only be released to names on this list. *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home church
YesNo
Please use box below to describe any allergies or medical information needed. *If any self-carry medication is needed, please also explain below. (epi-pen, inhalers, etc.)
YesNo
Please provide any additional information we should know about your child.
Should be Empty:

2025 Calcedonia Baptist VBS