Soldier Creek Baptist Church Vacation Bible School!
June 17-20 | Please fill out this form and click submit.
VBS is for children in elementary school.
Please fill out one form for each child.
Name
*
Child's Date of Birth
*
Child's Grade (What grade did they just finish?)
*
Please select one option.
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Parent's Name
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Parent Email
*
This address will receive a confirmation email
Who is allowed to pick your child up?
*
Emergency Contact
*
Known Allergies
Is there anything else we need to know about your child?
Do you give Soldier Creek Baptist Church permission to photograph and/or video your child for a VBS video or to be put on the churches website or facebook page?
*
Please select one option.
Yes
No
Digital Signature:
*
Date Signed:
*
Submit
Description
June 17-20
Please fill out this form and click submit.
VBS is for children in elementary school.
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