Nashua Baptist Church

Faith | Family | Community

Child's Name
Parent/Guardian Name
Address
Mailing Address (If Different)
Phone # (Home)
Phone # (Work)
Phone # (Cell)
Email Address
Child's Birth Date
Last Grade Completed
Medical Information (Please include food allergies)
Emergency Contacts (other than listed above) Name & Phone #s
Dismissal Information (Who may pick up your child each at the end of each VBS day?)
Does your child attend Sunday School?	Yes No
If yes, where?
If your child is visiting our church, who is he/she a guest of?
May we have permission to photograph your child?	Yes No
May we have permission to use your child's photograph for promotion?	Yes No

	Submit

Your registration has been received. Thank you for registering and we look forward to seeing you soon at VBS.

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