2025 Glendale Baptist Church VBS
VBS at Glendale will be July 18-20.
Child information
Name
*
Birthday
*
Grade (in the Fall)
*
Parent Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
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?
*
Please select one option.
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.
*
Please select one option.
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.
*
Please select one option.
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.
*
Please select one option.
Yes
No
My child needs to be picked up from
*
My child needs to be dropped off at
*
T-Shirt
Shirt size
*
Please select one option.
Youth XS (2-4)
Youth S (6-8)
Youth M (10-12)
Youth L (14-16)
Adult S
Adult M
Adult L
Adult XL
Select Option
Youth XS (2-4)
Youth S (6-8)
Youth M (10-12)
Youth L (14-16)
Adult S
Adult M
Adult L
Adult XL
Submit
Description
VBS at Glendale will be July 18-20.
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