Vacation Bible School Registration Form

   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 (other than listed above)

Name ____________________________  Phone # ________________________

Name ____________________________  Phone# _________________________


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

Does your child 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


  January 2021  
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