VBS Registration form

For children completed kind. – 7th grade
Complete one form per child
On-Line registration will end Thursday, June 5
Child's Name:         Age:
Child's Date of Birth:            Last grade completed in school:
Allergies/medical conditions we should know about:
In case of emergency, contact:
Parent / Guardian Name:

Child's Address:

City: , State ZIP

Home phone:        Cell:
Home email address:
Home church:

Friend you would like to be with during VBS:

Does your child require van service to and from VBS?
Yes, enroll my child in van service for VBS. 
 

SUMMER MADE FOR PRAISE MUSIC CAMP:  For children completed K-7th grade and will be immediately following VBS until 4:00 PM.  The cost is $25 per child. 
Yes, please enroll my child in the afternoon Music Camp. 

 
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First Baptist Church • 200 South Denver • Russellville, Arkansas 72801 • (479) 968-1316
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