REGISTRATION

Registration

* Indicates required field

Child’s Name ( one form per child ) *

First

Last

Grade completed *

Birthday *

Age *

Parent or Guardian Name *

First

Last

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Alternate Number *

Emergency Contact *

Relationship to child *

Emergency contact Phone Number *

Food allergies if any *

Medical concerns if any *

Family doctor *

Doctor Phone Number *

Siblings attending ( name and age ) *

Church membership at *

Person(s) name(s) who may pick up the child ( name and number) *

Transportation needed *

Yes No

Vacation Bible school (VBS) Leaders have permission to photograph/film the minor(s) designated above for any lawful purpose associated with the VBS program *

Yes No

Thank you for giving us the opportunity to teach your child(ren) more about God and give them the opportunity to have fun at the same time that they learn!

parent Signature *

Date *

Submit

JOIN US FOR SERVICES!

"Thank you for visiting the Bala Chitto Baptist Church website. We are a community of believers committed to sharing the love of Christ and serving others. Explore our site to learn more about our ministries, upcoming events, and ways you can get involved. If you have any questions or would like to connect with us, please don't hesitate to reach out. We look forward to welcoming you to our church family. May God bless you abundantly."

Registration

Location

JOIN US FOR SERVICES!

Contact Us

Subscribe Today!