First Baptist Church of Beltsville
Finding Peace with God on the Hilltop of Beltsville
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VBS Registration Form
Twists and Turns
June 26 - June 30, 2023
9:00 a.m. - 12 p.m.
Child Registering
Child's Name:
Parent/Guardian's Name:
Street Address:
City:
State:
Zip Code:
Age:
Last Completed Grade:
N/A
1
2
3
4
5
6
7
8
9
10
11
12
Mailing Information
Same as above?:
Yes
No
Street Address:
City:
State:
Zip Code:
Contact Information
Primary Phone:
Secondary Phone:
Email:
Medical Information:
Medical Information that we need to know (incl. Food Allergies):
Emergency Contact:
Emergency Contact:
Phone:
Dismissal Information:
Name of person allowed to pick up child:
Phone:
Other Information:
Does your child attend church or Sunday School?:
Yes
No
If Yes, the name of Church:
Is your child visting our church?:
Yes
No
If Yes, who is your child a guest of?:
May we have permission to use your child's photo for promotional purposes?:
Yes
No