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VBS 2018 Registration Form

Note: The information that you are about to provide will be considered strictly confidential and will be used in the same manner as the manual hard copy registration forms that will be provided on opening night Friday, July 13. By using this online registration, your Child or Youth will be "pre-registered" and can pick-up his/her name tag at the registration table without having to fill out a manual registration form. Children aged 2-years-old to just finished 6th Grade may register. You may register up to 3 children on the same form. If you have more children to register, just fill out the form again.

* indicates required field

* Parent/Guardian Name:*
*Street Address:*
City, State, Zip*
Mailing Address (if different):
Phone Number*
Cell Number
Email Address*


Child #1 Name*
Child #1 Date of Birth:
Child #1 Last Grade Completed
Child #1 Medical Info including any food allergies*


Child #2 Name
Child #2 Date of Birth
Child #2 Last Grade Completed
Child #2 Medical Info including any food allergies


Child #3 Name
Child #3 Date of Birth
Child #3 Last Grade Completed
Child #3 Medical Info including any food allergies


* Emergency Contact Name:*
Emergency Phone Number*
* Dismissal Info (who may pick up your child at the end of each VBS day?):*
Other Info - Do you attend Sunday School / Church, and if so where?
If you are visiting our Church, who are you guest of?
May we have permission to photograph your child?
Yes No
May we have permission to use your child's photograph in church publications for the purpose of promotion?
Yes No
Would you like for someone to contact you with more information about New Hope Missionary Baptist Church?
Yes No