VBS Registration 2020

Please Cut and Paste Registration Form to Email and send to [email protected] Parents are asked to still come in on Monday and sign the Photo Authorization Form. Remind anyone coming to pick up children I.D. is required. We know that it may take a while to get out at night but everything we do is for the safety of our children. Your children and their safety is very important to us.  Any questions you may have feel free to email me at the address above or give me a call at 1-864-923-9331.

Thanks You,

Amy Simpson

VBS Director

VBS 2020

 

Child’s Name: ____________________________            Age: ____

Birthday:__________________

Child’s Name: ____________________________            Age: ____

Birthday:__________________

Child’s Name: ____________________________            Age: ____

Birthday:_________________

Child’s Name: ____________________________            Age: ____

Birthday:_________________

Parent’s or Guardian’s Name: ___________________________

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Address: _____________________________________________


Home Phone #: _____________________

Cell Phone #: ___________________ or ____________________

Email Address: _________________________________________

Child’s Shirt Size: ________               Grade Completed: __________

Child’s Shirt Size: ________               Grade Completed: __________

Child’s Shirt Size: ________               Grade Completed: __________

Child’s Shirt Size: ________               Grade Completed: __________

Code Word: _____________________

People allowed to pick up child:

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Child’s Name:

Medical Information (Including Allergies):

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Child’s Name:

Medical Information (Including Allergies):

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Child’s Name:

Medical Information (Including Allergies):

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Child’s Name:

Medical Information (Including Allergies):

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Photo Authorization

Holly Grove Baptist Church

I, ________________________, hereby give authority to Holly Grove

Baptist Church to use _________________________ photos on their

website, Facebook, and/or in any public domain (newspaper etc.).

Date: _____________

Signature: ___________________