2019 VBS Registration Form

WYLDWOOD BAPTIST CHURCH

2019 VBS REGISTRATION FORM

 

STUDENT NAME _______________________________________________________

AGE  _______________     GRADE JUST COMPLETED _______________________

NAME OF CHURCH _____________________________________________________

ALLERGIES, MEDICAL ISSUES, SPECIAL NEEDS: ________________________________________________________________________

PARENT NAME _____________________________________________________________

ADDRESS ___________________________________________________________________

_________________________________________________________________________

PHONE ________________________ EMAIL __________________________________

EMERGENCY CONTACT & PHONE ____________________________________________

_________________________________________________________________________

MEDICAL RELEASE ____    PHOTO RELEASE ____ PERMISSION TO ATTEND ______

 

PARENT SIGNATURE ______________________________________  DATE ___________

  January 2020  
SMTWTFS
   1234
567891011
12131415161718
19202122232425
262728293031 
     
Bible Search