Welcome to Greenbrier Baptist Church!
Saturday, June 15, 2019
7939 Greenbrier Road, Madison, AL 35756

VBS Printable Form

Registration Form

Greenbrier Baptist Church Vacation Bible School

 

Child’s Name _______________________________________________

 

Parent/Guardian Name _____________________________________

 

Address ___________________________________________________

 

Mailing Address (if different) ________________________________

 

Phone Numbers

Home _____________________________________________________

Work ______________________________________________________

Cell ________________________________________________________

 

E–mail _____________________________________________________

 

Age Information

Birth date ____________

Last grade completed in school ____________

 

Medical Information

Medical or other information we need to know. (Please include any food allergies.)

___________________________________________________________

___________________________________________________________

___________________________________________________________

 

Emergency Contacts

 

Name_________________________ Phone number_________________

Name_________________________ Phone number_________________

 

Dismissal Information

Who may pick up your child at the end of each VBS day?

___________________________________________________________

 

Other Information

Do you attend Sunday School? If so where?

___________________________________________________________

 

If you are visiting our church, who are you a guest of?

___________________________________________________________

 

May we have permission to photograph your child?  Yes    No

 

May we have permission to use your child’s photograph for the purpose of promotion?  Yes   No