Please fill out the information below to sign up your child(ren) for Vacation Bible School. You must submit your information once for each child so that we have a complete, independent record of each VBS participant.

Child's Name (required)

Child's Birthday

Home Address

Home Phone

Cell Phone

Your Email (required)

Parent's Name

Work Phone

Emergency Contact

Emergency Phone

List Allergies

School Grade Just Completed

Home Church, If Any

I hereby grant Gashland Baptist Church permission to use pictures of my child on its website for informational or promotional purposes.

By checking this box, you are creating an electronic signature that will constitute your legal permission for your child to attend VBS at Gashland Baptist Church.