VBS Registration Form

 Sandy Springs Baptist Church

(One Per Child) 

 

Child's Name__________________________________________

Child's age ______ Date of Birth ___________________ Last school grade completed ____________

Parent/Guardian Names __________________________________ 

Address (street address, city, state, zip) ____________________________________   

                                                                ___________________________________

Mailing Address (if different)_______________________________________________

Contact Information: 

Cell _____________________________

Home________________________________

E-mail______________________________

Home Church, if any:  _________________________________

Allergies or Other Medical Conditions (Please include food allergies.) 

__________________________________________________

__________________________________________________

 __________________________________________________

 May we have permission to photograph your child?    Yes_____  No______

May we have use your child's photograph for the purpose of promotion?   Yes _____ No______