Vacation Bible School

Please complete the form below to register your child(ren) for VBS.

Paraent/Guardian Information

Name(Required)

First Last

Email(Required)

Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Child Information

Child Name(Required)

First Last

Child Date of Birth(Required)

Grade in School(Required)

Any Allergies?(Required)

If Yes, What?

I hereby give permission to Cobb Island Baptist Church to photograph and video my child while involved in class activities and performance and I hereby give authorization to Cobb Island Baptist Church to use such photographs for ALL promotional use - website, brochures and/or other publicity purposes.

Permission(Required)

Name

This field is for validation purposes and should be left unchanged.