Vacation Bible School Sign Up

Age 3 thru 6th grade

Grade Entering?
Age? (Child must be age 3 by July 1st, 2023)
Boy/Girl?
Birth Date?
Parent or Guardian Name(s)?
Emergency Contact?
Emergency Contact Phone Number?
Do you attend Sunday School? Central Baptist or Other?
If visiting our church, who are you a guest of?
Special Instructions (food allergies, etc.)
Who may pick up your child at the end of each VBS day?
Photograph/Video permission for your child? (Y/N)
Permission to use your child's photograph/video for your promo purposes? (Y/N)
T-Shirts available; size XS thru XXXL; $12/ea. Please list size and quantity desired; payment to Central due by July 11.