HBC Hickory - VBS Registration

VBS REGISTRATION FORM

PLACE: Highland Baptist Church • 828 9th Ave. NE • Hickory
DATES: June 14-18
TIME: Supper 5:15 pm VBS 6:00 - 8:15pm (accept Thursday NO SUPPER )

Please complete this ENTIRE registration form.

Child's First Name (PLEASE PRINT)

Last Name

Parent/Guardian First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

HOME Phone

CELL Phone

WORK Phone

Child's Date of Birth

Age

Gender

Male

Female

Last School Grade Completed

Home Church

Allergies

Other Medical Information

EMERGENCY Contact #1 - First Name

Last Name

Phone Number

EMERGENCY Contact #2 First Name

Last Name

Phone Number

Are parents helping with VBS?

YES

If YES, where?

Dinners for Children and VBS Workers

Sun-Wed• 5:15-5:45 • Fellowship Hall

Thursday Night Commencement Service • 6:00pm

Parents are encouraged to attend. The celebration will be followed by a waterslide and ice cream barl for the whole family!

< Back

Next >

Submit

VBS REGISTRATION FORM

Dinners for Children and VBS Workers

Sun-Wed• 5:15-5:45 • Fellowship Hall

Thursday Night Commencement Service • 6:00pm

Parents are encouraged to attend. The celebration will be followed by a waterslide and ice cream barl for the whole family!

Service Times

Contact Us

Follow Us