Register for VBS 2023

This form is used to sign your child up for the 2023 vacation bible school at Temple Baptist Church. VBS runs daily from June 5 to 9 from 8:45 to noon.

First Name

Last Name

Gender

Date of Birth

Graduation Year

Address Line 1

Address Line 2

City

State

Postal Code

Phone

Parent Names 1

Parents Phone 1

Parents Email 1

Parent Names 2

Parents Phone 2

Parents Email 2

School Grade

Invited By

Notes

I agree to allow my child to be photographed or recorded on video or audio during the VBS program. I authorize Temple Baptist Church to use photographs, video or audio of my child online and in print for any purpose, without remuneration of any kind.

I agree to the statement displayed above, as indicated by my electronic signature:

Electronic Signature

Date

Relationship

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