Vacation Bible School Registration Form

6-3-15_VBS_WEB.jpg   Hilldale Baptist Church

Child's Name______________________________________________

Parent/Guardian Name_________________________________________

Address (street address, city, state, and zip code)


Phone Numbers

Home____________      Cell______________   Work_____________

Email ____________________________________________________

Birth date___________   Last grade completed in school___________

Medical or other information we need to know.  (Please include any food allergies.)




Emergency Contacts

Name ____________________________  Phone # ________________________

Name ____________________________  Phone# _________________________


Who may pick up your child at the end of each VBS day? ______________________________________

Do you attend Sunday School?  If so where? ____________________________________________________

If you are visiting our church, who are you a guest of? _________________________________________

May we have permission to photograph your child?       YES         NO

May we have permission to use your child's photograph for the purpose of promotion?           YES       NO

   October 2018   
Bible Search