Beverly Hills Baptist Church
Sunday, August 20, 2017
Reaching and nurturing our community with the Love of Christ and equipping believers for ministry.

VBS Registration

 

2017 Beverly Hills Baptist Church

VACATION BIBLE SCHOOL REGISTRATION

(One form per child please)
 
Student's First and Last Name 
 
Age or Highest Grade Completed
 
PRESCHOOL                     CHILDREN                                    YOUTH
 3 Years old                Finished K5 or 1st Grade                     Finished 6th Grade
 4 Years Old                Finished 2nd or 3rd Grade                  Finished 7th Grade
 5 Years Old                Finished 4th or 5th Grade                   Finished 8th Grade
                                                                                                     Finished 9th Grade
                                                                                                      Finished 10th Grade
                                                                                                     Finished 11th Grade
                                                                                                      Finished 12th Grade                                                   
 
Medical or Allergy information we need to know:  
  
 
Parent/Guardian First/Last Name: 
 
Address:      
 
Home Phone:    Cell Phone:   
 
Email:  
 
Emergency Contact # 1:   
Emergency Contact # 2:   
 
CONSENT STATEMENTS: (Please Initial)
  In the event my child has a medical emergency and I am unable to be reached,
Beverly Hills Baptist Church staff may obtain medical treatment for my child.
 
  Beverly Hills Baptist Church May use my child's photos and video in promotional materials
regarding the ministries of Beverly Hills Baptist Church
 
  SPRUCE HILL APARTMENT RESIDENTS ONLY - I give permission for the above named child
to ride the bus/van to/from Beverly Hills Baptist Church
 
Parent/Guardian completing form:   
Date