Bellefounte Baptist Church - VBS Registration

VBS REGISTRATION FORM

Parent or Guardian Information

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Email

Phone Number

Child Information

First Name

Last Name

Birthdate

Grade Just Completed

Allergies (if none put N/A)

Tee Shirt Size

Pick Up Information

Please enter anyone authorized to pick up your child