Verona Baptist Church
Wednesday, November 21, 2018
Loving People God's Way!

VBS Registration

 

Vacation Bible School

Sunday, June 24 - Thursday, June 28

 

6:30 - 8:30 PM

3 years old - 6th grade

Parents,  please fill out the online registration form below.
 
If you prefer, printed registration forms are available
at the church.
 
 
 
 
 
 
 
 
Child's Name Nickname 
Address
City, State, Zip
Mailing Address (if Different)

Parent/Guardian Name

E-Mail
Phone Numbers:  Home Cell Work

Age Information:  Birth date Last grade completed in school  

Medical Information
Medical or other information we need to know.  Please include any food allergies.



Emergency Contacts
Name     Phone #
Name     Phone #


Dismissal Information
Who may pick up your child at the end of each evening?

Other Information
How did you come to know about our Vacation Bible School?  
Do you attend church regularly?yes no  Sunday School? yes no   
Where?
If you are visiting our church, who are you a guest of?

May we have permission to photography your child?  yes  no
May we have permission to use your child's photograph for the purpose of promotion?  yes  no