Georgia Avenue Baptist Church
2025 Vacation Bible School Registration Form
VBS Kickoff July 18, 2026
Starting at Noon
VBS Dates: July 20-24, 2026
6 PM to 8:30 PM
Name of Child or Adult Being Registered
*
First Name
Last Name
Last grade completed in school. (child) If adult put NA
Name of Child or Adult Being Registered
First Name
Last Name
Last grade completed in school. (child) If adult put NA
Name of Child or Adult Being Registered
First Name
Last Name
Last grade completed in school. (child) If adult put NA
Name of Child or Adult Being Registered
First Name
Last Name
Last grade completed in school. (child) If adult put NA
Name of Child or Adult Being Registered
First Name
Last Name
Last grade completed in school. (child) If adult put NA
Name of parent or guardian of child, or your name if an adult
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Cell Phone Number
Format: (000) 000-0000.
Email
example@example.com
Age of child, (If multiple children registered, please list in order registered.) Adults may put NA.
Medical needs, disabilities or other information we need to know. (Please include any food allergies.)
*
Emergency Contact
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Second Emergency Contact
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Dismissal Information: Who may pick up your child at the end of each VBS day? If registering an adult, put your name.
*
May we have permission to photograph you or your child, and may we use the photograph in church publications?
*
yes
no
How did you hear about our VBS?
*
Submit
Should be Empty: