VBS 2024 Registration

Fill this out to register your child for VBS @ Bethany!
June 9 - 13
5:30 - 8:30 pm

Child's Name

*

Grade Completed (by June)

*

Please select one option.

Pre-K K 1st 2nd 3rd 4th 5th

Address

*

Parent Name

*

Parent Email

*

This address will receive a confirmation email

Parent Cell Phone

*

Emergency Contact Name (besides parents)

*

Emergency Contact Phone

*

When you drop your chlidren off each night, if there will be someone besides a parent picking them up, we will require you to let us know who that will be! We'll have a paper you can write it down on each night at drop-off.

Any medical needs we need to be aware of?

*

Any allergies?

*

Does your child attend church regularly somewhere?

*

Please select one option.

Yes Sometimes No

If so, where?

Do you give permission for any photos or videos containing your child to be posted online by Bethany Baptist Church or used in church promotional material?

*

Please select one option.

Yes No

By signing below, you are giving permission for your child to attend VBS at Bethany Baptist Church and releasing the church from any and all liability.

Signature

*

Description

Fill this out to register your child for VBS @ Bethany!
June 9 - 13
5:30 - 8:30 pm

Please Fix the Following

Close