Tabernacle Baptist Church

2017 Vacation Bible School Registration

June 5-9   7-9pm

Treasure at Pirate Cove

All fields are required. Please enter 'None' instead of leaving any field blank.

First name:
Last name:
Sex:
Date of birth:
Current age or grade in fall of 2017:
Address:
City:
State:
Zip Code:
Known allergies/medical conditions:
Current church home:
How did you hear about our VBS?    
Parent or guardian:
Parent or guardian phone:
Emergency contact:
Emergency contact phone:
Email:

This information will not be distributed to any other organization.