VBS Child Registration – Center Hill Baptist Church

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Center Hill Baptist Church – Loganville, GA

Watch our VBS Promo video

2021 VBS CLASSES & Worship Rally:

Monday, July 12 – Friday, July 16

7-8:30 PM

Family Day: Sunday, July 18, Starting at 11AM

PLEASE PRE-REGISTER YOUR CHILDREN HERE:

Parent/Guardian Name *

First

Last

Address (street, city, state, zip) *

Mailing address if different

Phone Numbers: (Home / Work / Cell) *

Email *

Emergency Contact Person (Name and Phone) *

Family is Active at WHICH church? *

Please let us know what church you are actively attending. If none, please just type NONE.

How did you Learn of VBS? Invited By? *

FOR SAFETY: Who may pick up your child(ren) after VBS each night?

Photo / Video Permission *

I consent to photo/video of my child(ren)
I DO NOT consent to photo/video of my child(ren)

Photos and video will be taken for social media and other marketing purposes. If this would pose a threat to a family member, please bring this to the attention of the REGISTRATION DESK or call the church office (770) 466-4335. Ask for the PASTOR or CHILDREN'S DIRECTOR

CHILD #1 *

First

Last

CHILD #1: Male or Female

Male
Female

CHILD #1: Relationship to Adult Above: *

CHILD #1: Birthdate *

CHILD #1: Last Grade Completed *

CHILD #1: Attends Sunday School? *

Yes
No

Child #1: List Medical Issues / Allergies

CHILD #2

First

Last

CHILD #2: Male or Female

Male
Female

CHILD #2: Relationship to Adult Above:

CHILD #2: Birthdate

CHILD #2: Last Grade Completed

CHILD #2: Attends Sunday School?

Yes
No

Child #2: List Medical Issues / Allergies

CHILD #3

First

Last

CHILD #3: Male or Female

Male
Female

CHILD #3: Relationship to Adult Above:

CHILD #3: Birthdate

CHILD #3: Last Grade Completed

CHILD #3: Attends Sunday School?

Yes
No

Child #3: List Medical Issues / Allergies

CHILD #4

First

Last

CHILD #4: Male or Female

Male
Female

CHILD #4: Relationship to Adult Above:

CHILD #4: Birthdate

CHILD #4: Last Grade Completed

CHILD #4: Attends Sunday School?

Yes
No

Child #4: List Medical Issues / Allergies

Name

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