Bethany Vacation Bible School – Bethany House of Worship

Select number of children attending VBS 2024

Layout

Child's Name

Grade in Fall 2024

Age on June 24, 2024

Check Date(s) Attending

Parent's Name

First

Last

Parent's Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent's Cell Phone

Would you like to add an emergency contact apart from the parent?

Emergency Contact

First

Last

Emergency Contact Cell

How will your child be attending the VBS?

Do you agree to allow photos / video of your child to be taken during the VBS?

Are you currently a member of Bethany House of Worship?

Do you wish to receive information about church events throughout the year?

Is there anything else we need to know about your child such as food allergies/medical needs/travel needs?