VBS 2019
Monday, June 17 thru Friday, June 21
Participant's Age/Group
*
3, 4, or 5 years
1st or 2nd Grade
3rd, 4th, or 5th Grade
Preschool Group - Pick 1
Grade 1 - 2 Group - Pick 1
Group Mac Tracks - Pick 1
Group Marge Tracks - Pick 1
Grade 3, 4 or 5 Group - Pick 1
Group Zion Tracks - Pick 1
Group SavannahTracks
Participant's Name
Participant's First Name
Participant's Last Name
Participant's Birthdate
-
Month
-
Day
Year
Date
Medical Problems/ Allergies / Special Needs
Persons legally restricted from any contact with child (provide legal documentation)
Driver Last Name Begins with
A - E (Check In/Out Red Booth)
F - H (Check In/Out Blue Booth)
I - O (Check In/Out Yellow Booth)
P-Z (Check In/Out Green Booth)
Relationship to Participant
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Zip Code
Cell Number
-
Area Code
Phone Number
Home Number
-
Area Code
Phone Number
Email
example@example.com
Do you currently have a home church?
Yes
No
If Yes, where?
Tell us how you learned about VBS at Liberty Hill Baptist Church:
Liberty Hill Baptist Church Website
Newspaper
Flyer / Poster
Invited by a friend
Church Sign
Other
Group Name
Track
Hut Color
Submit
Print Form
Should be Empty: