Woodlawn Baptist Church VBS Registration Form
Please complete one form for each child who has completed Kindergarten - 5th Grade
June 14th - 18th
6:00pm - 8:00pm
Child's Name
*
Child's First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade child just completed
*
K
1st
2nd
3rd
4th
5th
Child's T-Shirt Size
Medical Information (Food Allergies and Medical Conditions)
*
List Condition & all Allergies - Food, Other
Parent/Guardian Name & Phone Number
*
Ex. Sasha Barnes 704 899-0088
Email
example@example.com
Child's Address
*
Street Address
City / State / Zip
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Emergency Contact Name & Phone Number (other than listed above)
*
Ex. Jake Barnes 704 899-0000
Dismissal: List Names of those authorized to pick up.
*
First & Last Name (16 yrs. or older)
Check all boxes that`apply
Our family is looking for a church.
I would like someone to contact me.
Name of Church you currently attend
Submit
Should be Empty: