Registration Form
Grace Baptist Church 2026 VBS
June 22nd-25th
6pm-8pm
Meals provided nightly!
Please fill out 1 per child
Child's name:
Child's gender:
Child's age:
Date of birth:
-
Month
-
Day
Year
Date
Last school grade completed:
Name of parent(s)/caregiver(s):
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/caregiver's cellphone:
Format: (000) 000-0000.
Email address:
example@example.com
Home church:
Allergies, medical conditions, or special needs:
In case of emergency, contact:
Phone:
Format: (000) 000-0000.
Relationship to child:
Who is allowed to pick your child up?
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Submit
Should be Empty: