Campbellford Baptist Church Inc.

Campbellford Baptist Church - VBS 2025

• • Child's Name*
    First Name

    Last Name
  • Child's Gender*
    >MF
  • Date of Birth*
    MM

    DD

    YYYY
  • Last School Grade Completed*
    >JKSK123456
  • Child's Age*
  • Name of Parents*
    First Name

    Last Name
  • Street Address*
  • City / Town - Prov. - Postal Code*
  • Home Phone*
     
  • Parent/Caregivers Cell Phone*
     
  • Your Email*
     
  • Home Church
  • SecondaryContact*
    First Name

    Last Name
  • Phone Number*
     
  • Approval to display/publish photo(s)*
    Yes

    No
  • Alergies or other medical conditions*
  • In Case of emergency, contact*
    First Name

    Last Name
  • Phone*
     
  • Relationship to child*
  • One friend you would like in your crew if possible
  • Crew number or name (Church Use Only)
  • Medical Release: The VBS team has my permission to administer basic first aid to my child in the eveny of an injury. I understand that the VBS team will contact emergency services in the event of a signifigant injury.*
    Yes

    No
  • Your E-mail
     
  • Website
     
• 
  Submit