Goochland Baptist Church 2023 Vacation Bible School Registration

Please fill out this form and click submit.

Children VBS Registration

Parent Name

*

Mobile Phone

*

Email

*

This address will receive a confirmation email

Please Enter Total Number of family members to include for dinner (children included)

*

1 .Child Name

*

Grade Entering

*

Please select one option.

Nursery Pre-K Age 3 Pre-K Age 4 Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5

Please list any allergies

2. Child Name

Grade Entering

Please select all that apply.

Nursery Pre-K Age 3 Pre-K Age 4 Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5

Please list any allergies

3. Child Name

Grade Entering

Please select all that apply.

Nursery Pre-K Age 3 Pre-K Age 4 Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5

Please list any allergies

Comments

Adult Dinner and Mission Registration

1.Adult Name

Email

This address will receive a confirmation email

Phone

2. Adult Name

Email

This address will receive a confirmation email

Phone

Comments

Description

Please fill out this form and click submit.

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