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VBS Registration
Center Point Baptist Church 2021 Vacation Bible School Registration Form. VBS is geared for children who will be 4 years old or older by September 1, 2022. VBS will be held at Center Point
July 12th- 16th 2022.
VBS Registration
Center Point Baptist Church 2021 Vacation Bible School Registration Form. VBS is geared for children who will be 4 years old or older by September 1, 2022. VBS will be held at Center Point
July 12th- 16th 2022.
Child Information
*
Indicates required field
Child's Name
*
First
Last
Gender
*
Male
Female
Birthdate
*
Grade Entering
*
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Allergies
*
Medical Information (If Any)
*
Does child attend church regularly?
*
Yes
No
If yes, where?
*
Parent Information
Parent's Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Emergency Contact Information
Emergncy Contact Name
*
First
Last
Relationship to Child
*
Phone Number
*
Alternate Information
Alternate Pickup Name
*
First
Last
Relationship to Child
*
Alternate Pickup #2 Name
*
First
Last
Relationship to Child
*
Other Information
If your child is a preschooler, what age will he/she be on September 1, 2021?
*
If your child will be 6 or 7 but not in the 1st grade yet, will they be placed with the 1st graders?
*
Yes
No
In case of an emergency, do we have your permission to transport this child by ambulance to Highlands Medical Center?
*
Yes
No
Comments
*
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