First Baptist Church of Newalla
Wednesday, September 08, 2010
Making Disciples to Make a Difference

VBS Child Registration

Ready to join us on Saddle Ridge Ranch?! We can't wait to see you! Please fill out the form below to register your child for this exciting week!
 
Parent Name: 
 
Parent Phone: 
 
Parent Email: 
 
Parent Address:
 
Additional Emergency Contact Name: 
 
Emergency Contact Relation: 
 
Emergency Contact Phone: 
 
 
Child Name:                         Grade JUST COMPLETED:      Allergies?
                 
                 
                 
                 

Would you like information about the bus service offered during VBS? 
 
Do you attend church regularly? If so, where?
 
Additional Comments:
 
NOTE - All fields above are REQUIRED to submit the form.