Westbury Baptist Church 2014 Faith in Action - Fire Station 2014 Faith in Action - Food Bank 2014 Faith in Action - Pregnancy Center 2014 International Day 2014 International Day 2 2014 International Day 2014 Sunday Morning Worship 2014 Sunday Morning Worship 2015 Spring Break Missions - Food Bank

Vacation Bible School - Registration Form

Fill out the form below to register for VBS.

Child's Name: *
Parent/Guardian Name:
Address:
Address Line 1
Address Line 2
City
State/Prov.
Postal Code

Phone Numbers

( Example: 7137236428 )
Home
Cell

Age Information

Birth Date (mm/dd/yy):

Medical and Emergency Info

Medical or other information we need to know. (Please include any food allergies.)

Dismissal Information

Who may pick up your child at the end of each VBS day?
Mailing Address (if different):
Address Line 1
Address Line 2
City
State/Prov.
Postal Code

 

 
Work
E-mail

 

Last Grade Completed in school:

 

Emergency Contact Name #1
Phone Number
Emergency Contact Name #2
Phone Number

Other Information

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?
May we have permission to use your child's photograph for the purpose of promotion?

Please click the Submit Form button below when you are ready to submit your information.