VBS Registration Form 2025

Salem Baptist Church VBS 2025

June 8 - 12, 2025 Meal @ 5:30 VBS 6:00- 8:30 pm
VBS is for children who have completed grades Prek 4 through 5th grade!

Please complete the information below for each child in your family registering for our 2024 Vacation Bible School. If you are trying to register more children than the blanks below allow, please enter additional children on a separate submission.
List all Children in Family signing up for VBS*

Child First Name Child Last Name
School Grade Most Recently Completed*
Are there any food allergies, medical issues or special circumstances we need to be aware of?

YesNo
If yes, please explain*
Child First NameChild Last Name
School Grade Most Recently Completed
Are there any food allergies, medical issues or special circumstances we need to be aware of?

YesNo
If yes, please explain*
Child First NameChild Last Name
School Grade Most Recently Completed
Are there any food allergies, medical issues or special circumstances we need to be aware of?

YesNo
If yes, please explain*
Child First NameChild Last Name
School Grade Most Recently Completed
Are there any food allergies, medical issues or special circumstances we need to be aware of?

YesNo
If yes, please explain*
Parent Name*

First NameLast Name
Parent Name

First NameLast Name
Preferred Phone Number:*

Area CodePhone Number
Secondary Phone Number:

Area CodePhone Number
Parent E-mail*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact*

Full NamePhone Number
Church Attending
I give permission for any picture that includes my/our child(ren) to be used on Salem Baptist Church’s website and/or facebook pages.
Authorization

I have read, understood, and accepted the above terms.
Should be Empty:

Salem Baptist Church VBS 2025