Vacation Bible School Registration Form

Child Information

Child's Name

Grade (just finished)

Age

Birthday

Any food allergies or additional information we need to know about your child?

Parent/Guardian Information

Name of Parent(s) or Guardian

Phone

This address will receive a confirmation email

Address

In Case of Emergency

Name

Phone

Relationship

Name

Phone

Relationship

Person(s) Permitted to Pick up your child

Name

Phone

Name

Phone

As the parent of the child named above I have checked my preference on giving Bethel Baptist Church, 15 Bethel Road Parkersburg WV, permission to take pictures of my child while participating in church activities. I understand that these pictures may be posted in church brochures or any website or social media set up by and/or related to Bethel Baptist Church. I understand that my child's pictures will not be used for any other purpose without first giving notification and seeking further consent for use.

I do give my permission I do not give my permission

Description

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Vacation Bible School Registration Form

Description

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