Bible Baptist Church - VBS Registration

Flight School

Aim Higher... (June 20, 2016 - June 24, 2016) - 6pm - 8pm
Name *
First Name Last Name
E-mail *
Age Range *

Adult Child (Under 18)
Grade *
Name of School
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name
First Name Last Name
Phone Number
- Area Code Phone Number
Parent/Guardian Name
First Name Last Name
Phone Number
- Area Code Phone Number
ALLERGIES/ Special Instructions
Details
Photo Waiver

I further acknowledge that any person registered on this form, as a participant in Vacation Bible School at Bible Baptist Church, may be photographed or captured on video during the Vacation Bible School program and activities. I hereby grant full permission to Bible Baptist Church to use photographs or videos-in print, electronic, online, or other public media-of the registered individual on this form and further release Bible Baptist Church from any and all liability connected with the authorized use of words and image of the person registered on this form.
Should be Empty:

Flight School