Heights Baptist Church / Welcome / Vacation Bible School

Register for Heights Baptist Church VBS Game On by filling out the information below: (Please fill in every box so that we can keep your child safe)

Your contact info:

First Name

Last Name

Please enter your full address:

Street Address

City

State

Zip Code

Phone Number

Email Address

What is the best way to reach you?

Email

Phone

Participants Full Name ( Last, First M.I.)

Perfered Name

Registration for

Children's VBS

Adult VBS (Skip to Children and Adult VBS Cont. section)

Children's VBS

Last Grade Completed (child registration)

Emergency Contact #1 (other than listed above) Include Name & Phone numbers

Emergency Contact #2 (other than listed above) Include Name & Phone numbers

Dismissal Information (who may pick up your child at the end of each V.B.S. day)

Children and Adult VBS Cont.

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

Does Participant have a Home Church?

Yes

No

If so Where?

May we have permission to photograph participant?

Yes

No

May we have permission to use you photograph for the purpose of promotion?

Yes

No

Game On 2018 Vacation Bible School