Illumination Station VBS Registration for New Hope Baptist Church

Illumination Station VBS Registration for New Hope Baptist Church

Register your child for Vacation Bible School at New Hope Baptist Church, May 27–30. Please complete a separate registration form for each child attending.
Parent/Guardian Name
Parent/Guardian Phone Number for text messages
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Child Name
T-shirt Size
Child Age
Child Grade (just completed)
Class Type
Days Attending
Allergies or Medical Conditions
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Permission for Child to Participate and Receive Meals
Photo/Video Permission
How did you hear about Illumination Station VBS?
Should be Empty: