VBS Registration

Parent/Guardian Information

Parent/Guardian Name

Cell Phone

This address will receive a confirmation email

Relationship to Child

Emergency/Pick-up Info

1st Emergency Contact Name

Cell Number

2nd Emergency Contact Name

Cell Phone Number

Authorized to pick up name

Cell Phone

VBS t-shirts

Our VBS t-shirts are $15/each. If you would like to purchase shirts please fill out the size for each child and pay HERE!

This year's shirt:

Children

1st Child First Name

1st Child Last Name

1st Child Birthday

1st Child Gender

1st Child Grade Entering:

1st Child Allergies/Special Needs. Write n/a if none.

2nd Child First Name

2nd Child Last Name

2nd Child Birthday

2nd Child Gender

2nd Child Grade Entering

2nd Child Allergies/Special Needs. If none type n/a.

3rd Child First Name

3rd Child Last Name

3rd Child Birthday

3rd Child Gender

3rd Child Grade Entering:

3rd Child Allergies/Special Needs. If none please type n/a

4th Child First Name

4th Child Last Name

4th Child Grade Entering:

4th Child Birthday

4th Child Gender

4th Child Allergies/Special Needs. If none please type n/a

Visitors Only: Who are you coming with and what is their relationship to you?

Photo Permission

I give my child permission for the use of photographs and videos of my child taken when at a Five Points Baptist event to be used on the Five Points webpage, social media, and other promotional materials.

Yes No

Description

July 7th-11th | 6-8:30pm (nightly)

Drop off/check-in for the kids 5-5:30pm each night.
Food will be provided for kids each night following check-in
Pick-up begins at 8:30pm
The deadline to order t-shirts is June 9th!!
To register please fill out this form and click submit.

VBS Registration

Description

Please Fix the Following