VBS Registration Form

Vacation Bible School at Gospel Water Branch Baptist Church during the week of 3-7 June 2024 starting at 6:00PM. Please register your child using the form below.

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Student Information

Student Name

First

Last

Special Needs/Allergies/Medical/Other

Date of Birth

Last Grade Completed:

Parent/Guardian Information

Parent/Guardian Name

First

Last

Address

Address Line 1

City

State

Zip Code

Work/Cell

Home Phone:

Name of Home Church:

Do you consent to having your child's pictures/images posted during our church recognition, webpage and/or social media platforms?

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