VBS | Bealeton Baptist Church

Parent(s) Name

Phone Number

What church do you attend

Address

Emergency contact and Phone # other than parent

Do we have permission to use unlabeled photos of your child on the church's social media such as facebook

"Yes" "No"

"I will send a labeled water bottle for my child/children each day"

Child's Name

Child's age

"Male" "Female"

Child's finished grade

Child's T-shirt size

"Youth XS" "Youth Small" "Youth Medium "Youth Large" "Adult Small" "Adult Medium" "Adult Large"

Medical/Allergy information

#2 Child's Name

#2 Child's age

"Male" "Female"

#2 Child's finished grade

#2 Child's T-shirt size

"Youth XS" "Youth Small" "Youth Medium "Youth Large" "Adult Small" "Adult Medium" "Adult Large"

#2 Medical/Allergy information

#3 Child's Name

#3 Child's age

"Male" "Female"

#3 Child's finished grade

#3 Child's T-shirt size

"Youth XS" "Youth Small" "Youth Medium "Youth Large" "Adult Small" "Adult Medium" "Adult Large"

#3 Medical/Allergy information

#4 Child's Name

#4 Child's age

"Male" "Female"

#4 Child's finished grade

#4 Child's T-shirt size

"Youth XS" "Youth Small" "Youth Medium "Youth Large" "Adult Small" "Adult Medium" "Adult Large"

#4 Medical/Allergy information