2026 Glendale Baptist Church VBS

Child information

Name

Birthday

Grade (in the Fall)

Parent Information

Name

This address will receive a confirmation email

Phone

Address

In case of emergency contact (someone other than a parent)

Name

Phone

Allergies

Does the child have allergies or other conditions that we should be aware of?

Yes No

If yes what?

Medical Release

By saying yes I release the adult sponsors and Glendale Baptist Church from responsibility for accidents during church sponsored activities. In case of emergency, I give permission to the adult sponsors of Glendale Baptist Church to secure proper treatment for the health and comfort of my child until I can be reached.

Yes No

Photo Release

By saying yes I give permission to Glendale Baptist Church to photograph my child at Vacation Bible School. I give permission to copyright, use and publish the photographs for any lawful purpose, including articles, church publications and the church website and social media.

Yes No

Vans

The church will be picking up children in the city limits of Booneville. We can not transport children under the age of five.

My child needs to ride the van.

Yes No

My child needs to be picked up from

My child needs to be dropped off at

Description

VBS at Glendale will be July 19-23 from 6-9 nightly.
If you have questions please call the church at 479-675-2842 or email info@glendalebc.org.

2026 Glendale Baptist Church VBS

Description

Please Fix the Following