North Naples Baptist Church
Tuesday, September 07, 2010

VBS Registration

   
North Naples Baptist Church
VBS Registration Form
 
Please enter your information into the form below and press the Submit button at the bottom to send it.
 
Activity:
   
Child's Name:
Birth Date:
Age:
Grade:
T-Shirt Size:

Address:
City:  State: 
Zip:

Mailing Address:
(if different)
City:  State: 
Zip:

Parent/Guardian:
Home Phone:
Cell Phone:
Email:

Emergency Contact:
Home Phone:
Cell Phone:
Relationship to child:

Medical Information
Food Allergies

Who may pick up your child at the end of each VBS day?
 
Church Information:
 
     Are you a current member of North Naples Baptist Church? Yes   No
 
     Are you a visitor to North Naples Baptist Church? No  Yes       If yes, guest of?
 
     Do you have a church home? Yes  No     If yes, where?
 
 
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
 
 
Once you have entered the information, press to send the information.
 
Thanks!