Vacation Bible School Online Registration

July 14th - 16th

Grades K-5

Childs Name (required)

Childs Gender (required)

Childs Age (required)

Childs Date of Birth(required)

Last school grade completed(required)

Name of Parents or Guardians(required)

Parents or Gauardians Email (required)

Parent(s) mobile or home telephone(required)

Street address(required)

Emergency contact name and number, if different than above

Do you currently attend a church?

Did this child attend Belmont VBS last year?

Would you like more information about Belmont Baptist Church?

Any allergies?

Any medical conditions?

You will receive a confirmation email after the form is completed. If you do not receive an email within 2 days, please email directly to vbs@belmontbc.net.

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