Cooper River Baptist Church

VBS Registration Form 2013


 

 

This is a New VBS application

This is a correction form (Check only if you are submitting corrections to a previously submitted VBS form)

        Enter your child's name

 

Parent/Guardian name

 
  • (Physical) Address

  • Enter your child's Date of Birth (00/00/0000)

               

    Last grade completed

                          

            Medical Information or other information we need to know

            (Please include any food allergies)

     

              Emergency Contacts

                    Name                

           Telephone          

            Cell phone         

    Who may pick up your child at the end of VBS?

    Do you attend Sunday School, if so where?

    If you are visiting our church, who are you a guest of?

     

    May we have permission to photograph your child? Yes No

    May we have permission to use your child's photograph for the purpose of promotion? Yes No (Such as on our Church website, Newsletter, etc.)


    MBuckner
    2012 [Cooper River Baptist Church].
    Revised: 06/19/13.