2025 VBS Form

TRUE NORTH VBS 2025 REGISTRATION

ETHEL BAPTIST CHURCH
WHAT: 2025 VBS Registration Form
WHEN: JUNE 16 - 20 (5:30 - 8:30 PM)
WHO: Children who have finished PreK-4 - 6th Grade

Parent or Guardian's First Name

Parent or Guardian's Last Name

Parent or Guardian's Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Parent or Guardian's Email

Parent or Guardian's Phone Number

Child's First Name

Child's Last Name

Child's Birthdate

Last Grade Completed

Child's Allergies or Medical Information Needed

Does this child attend Sunday School?

Yes

No

If Yes then where?

Is your child a guest of a member of Ethel Baptist Church?

Yes

No

Name of Member

Emergency Contact Name for this Child

Emergency Contact Phone Number for this Child

Names of people who may pick up this child

I give permission for Ethel Baptist members to use my child's photograph or video for the purpose of promotion for Ethel Baptist Church.

Yes

No

Additional Child

Yes

No

Child 2 First Name

Child 2 Last Name

Child 2 Birthdate

Child 2 Last Grade Completed

Child 2 Allergies or Medical Information Needed

Does this child attend Sunday School?

Yes

No

If Yes then where?

Is this child a guest of a member of Ethel Baptist Church?

Yes

No

Name of Member

Child 2 Emergency Contact Name

Child 2 Emergency Contact Phone Number

Names of people who may pick up Child 2

Additional Child

Yes

No

Child 3 First Name

Child 3 Last Name

Child 3 Birthdate

Child 3 Last Grade Completed

Child 3 Allergies or Medical Information Needed

Does this child attend Sunday School?

Yes

No

If Yes then where?

Is this child a guest of a member of Ethel Baptist Church?

Yes

No

Name of Member

Child 3 Emergency Contact Name

Child 3 Emergency Contact Phone Number

Names of people who may pick up Child 3

Additional Child

Yes

No

Child 4 First Name

Child 4 Last Name

Child 4 Birthdate

Child 4 Last Grade Completed

Child 4 Allergies or Medical Information Needed

Does this child attend Sunday School?

Yes

No

If Yes then where?

Is this child a guest of a member of Ethel Baptist Church?

Yes

No

Name of Member

Child 4 Emergency Contact Name

Child 4 Emergency Contact Phone Number

Names of people who may pick up Child 4

Additional Child

Yes

No

Child 5 First Name

Child 5 Last Name

Child 5 Birthdate

Child 5 Last Grade Completed

Child 5 Allergies or Medical Information Needed

Does this child attend Sunday School?

Yes

No

If Yes then where?

Is this child a guest of a member of Ethel Baptist Church?

Yes

No

Name of Member

Child 5 Emergency Contact Name

Child 5 Emergency Contact Phone Number

Names of people who may pick up Child 5

Signature