VBS 2025 Registration

Please fill out a separate form for each child.

Child's Name

Age

Birthday

Month

Day

Year

Grade Completed in 2025

Food Allergies

Parent/Legal Guardian

Address

Primary Phone #

Total number of guests attending Family & Friends Night: Friday, July 18th at 8 pm

EMERGENCY CONTACT(S): Please list a least one emergency contact different from the "Parent/Legal Guardian" listed above. Please list name and phone number.

DISMISSAL/PICK-UP INFORMATION: If someone other than the "Parent/Legal Guardian" is allowed to pickup your child, please check here and list their names and relationship to child below. Otherwise, leave this section blank.

Yes, The people listed below are allowed to pick up my child.

Dismissal Name and Phone #1

Dismissal Name and Phone #2

PHOTO PERMISSIONS: I authorize and agree that Baptist Tabernacle and its assigns and transferees may take photographs of my child, with or without their name, for any lawful purpose (i.e. publicity, illustration, advertising and web content.)

Yes, I DO GRANT Baptist Tabernacle and it's representatives the right to take photographs of my child/children during VBS 2025.

No, I DO NOT grant Baptist Tabernacle and its representatives the right to take photographs of my child/children during VBS 2025.

Name of Person Completing This Form

Relationship to Child