VBS 2024 – Registration - Riverside Baptist Church

VBS 2024 Registration Form

Riverside Baptist Church VBS 2024 Registration Form

Child's Name *

Parent/Guardian Name *

Address *

Mailing Address(if different)

Contact Information

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Email *

Age Information

Child's DOB *

Grade Last Completed *

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

Emergency Contacts

Emergency Contact Name *

Phone Number *

Emergency Contact Name

Phone Number

Dismissal Information

Who can pick up your child? *List each person that you authorize to pick up your child, seperated by commas

Other Information

Does your child attend church? If so, where?

How did you hear about VBS at Riverside Baptist Church?

May we have permission to photograph your child? *YesNoWe will be taking photos of during VBS activities

May we have permission to use your child's photographs for the purpose of promotion? *YesNoWe would love to have the opportunity to include photos of your child in promoting our VBS ministry