VBS Registration 2017
Child's First Name*
Child's Last Name*
Child's Birthday*
Child's School Grade '10-'11*
Medical Allergy Info (Please include any food allergies)*
Parent's E-Mail*
VBS STAFF ONLY*
Parent's Name*
Street Address*
City/Zip Code*
Primary Phone Number*
Alternate Phone Number*
Emergency Contact or Authorized Person for Pick-up*
Emergency Phone Number *
Do you attend Sunday School? If so where?
If your child is visiting our church, who is (s)he a guest of?
VBS T-shirts are available in the Gathering Area for $10.00. This includes the 2017 VBS music CD!
May we have permission to photograph your child?*




What We're Learning

Shirley Hills Baptist Church

615 Corder Road
Warner Robins, GA 31088
Phone: (478) 923-5571

© Copyright Shirley Hills Baptist Church, 2016. All Rights Reserved.
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