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CONTACT US
Bridgepoint VBS Registration Form
Contact Information
Child's Name:
Parent/Guardian Name:
Street Address:
City:
State:
Zipcode:
Home Phone:
Cell:
Email:
Age Information
Birth Date:
Last grade completed in school:
Medical Information
Medical or other information we need to know (please include any food allergies):
Emergency Contact other than parent
Emergency Contact Name:
Emergency contact phone number:
Dismissal Information:
Who may pick up your child at the end of each VBS day?
Other Information
Do you attend Sunday School?
Yes
No
If so, where do you attend?:
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child and use them for promotional purposes?
Yes
No
