Georgia Avenue Baptist Church
Vacation Bible School Registration Form
Vacation Bible School
July 15-19, 2024 6 PM - 8 PM
VBS Kickoff: July 13, 2024
12 PM to 3 PM
VBS Dates: July 15-19, 2024
6 PM to 8 PM
Name of Child or Adult Being Registered
*
First Name
Last Name
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 (Needed in Case of Emergency)
*
Cell Phone Number
Email
example@example.com
Age (adults may put N/A)
Last grade completed in school. (child) If adult put NA
*
Medical needs, disabilities or other information we need to know. (Please include any food allergies)
*
Emergency Contact (Someone Who is available in case of emergency)
*
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
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