DEER PARK VBS REGISTRATION FORM
Please fill out the form below to Register for Vacation Bible School
Parent / Guardian Name
Phone
Address
City
State
Zip Code
Email Address
Emergency Contact
Emergency Contact Phone
Are you a member of a church? yes no
If yes, where?
Are you interested in information about Deer Park Baptist Church? yes no
Child's Name
Birthdate
Age
Grade Completed
T-shirt Size Child SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
Allergies (If food allergy, please send a snack.)
Comments: (Please include any medical illnesses / special needs)
Transportation: Parent/GuardianCarpoolChurch Bus/VanOther
By clicking SUBMIT FORM, I give my full consent/permission for my child listed above to participate in church activities and ride in church sponsored vehicles. Any pictures taken may be used in crafts, on videos, and on the church website. I release Deer Park Baptist Church, its staff, and its representstives of any and all legal responsibilities.