Registration

VBS WILL BE HERE
July 24th - 28th
Monday - Thursday | 9:00 a.m. - 12:00 p.m.
Friday | 6:00 p.m. - 8:00 p.m.
AGES 4 - 12
HELP US BY REGISTERING ONLINE

We are so excited you are planning to join us during the week. One of our greatest priorities is the safety of your child. This registration allows us to know your child and take care of them. It helps us know how to contact you and who is authorized by you to pick up your child. Please help us by making sure the information is accurate and complete.

EAGLE HEIGHTS BAPTIST CHURCH VBS 2019 REGISTRATION FORM

Please submit a separate online form for each child.

General Information

* Indicates required field

Child's Name *

First

Last

Gender *

Birthday *

Age *

Last Completed Grade in School *

Parent's Name *

First

Last

Home Street Address *

City *

State *

Zip Code *

Primary Contact Phone Number *

Secondary Phone Number (Perhaps a another cell, spouse's, or family member's number) *

Email *

Do You Regularly Attend a Church? *

If "Yes," What Church Do You Attend? *

HEALTH INFORMATION

Does Your Child Have Any Health Conditions Or Allergies We Need to Be Aware Of? *

If "Yes," Please List All Health Conditions or Allergies *

Family Doctors Name If You Have One *

Family Doctors Phone Number *

EMERGENCY CONTACT

Name *

First

Last

Primary Phone Number *

Secondary Phone Number *

Relationship To You? *

WHO IS AUTHORIZED TO PICK UP YOUR CHILD FROM CHURCH?

The Following People Are Authorized By Me To Pick Up My Child From Eagle Heights Baptist Church *

PHOTOGRAPHY RELEASE

I understand that at this event or related activities my child may be photographed. I agree to allow my child's photo, video or film likeness to be used for any legitimate purpose by the event holders (such as for use on our Website, Facebook page use etc.) I understand that only the child's first name (if at all) will be used along with the name of the church.

I agree to the photo release statement: *

Agree Please do not use any pictures of my child

I'm interested in my child riding the bus to VBS, please contact me.

Choose One *

No, Thank you. Yes, Please contact me.

SUBMITTING YOUR REGISTRATION

To finish your registration, simply click the "Submit" button below. If your submission is successful, you'll see a "Thanks for your registration page." If you forgot to fill in a box, you'll need to go back and complete that area. If you have questions or problems, please let us know.

Submit

VBS WILL BE HERE​July 24th - 28thMonday - Thursday | 9:00 a.m. - 12:00 p.m.Friday | 6:00 p.m. - 8:00 p.m.AGES 4 - 12​HELP US BY REGISTERING ONLINE

EAGLE HEIGHTS BAPTIST CHURCH VBS 2019 REGISTRATION FORM

General Information

HEALTH INFORMATION

EMERGENCY CONTACT

​​WHO IS AUTHORIZED TO PICK UP YOUR CHILD FROM CHURCH?

​PHOTOGRAPHY RELEASE

​​I'm interested in my child riding the bus to VBS, please contact me.

​​SUBMITTING YOUR REGISTRATION

VBS WILL BE HERE
July 24th - 28th
Monday - Thursday | 9:00 a.m. - 12:00 p.m.
Friday | 6:00 p.m. - 8:00 p.m.
AGES 4 - 12
HELP US BY REGISTERING ONLINE

WHO IS AUTHORIZED TO PICK UP YOUR CHILD FROM CHURCH?

PHOTOGRAPHY RELEASE

I'm interested in my child riding the bus to VBS, please contact me.

SUBMITTING YOUR REGISTRATION