Dutch Cove Baptist Church - Summer Summit Registration

Summer Summit Registration Form

Mark your calendars for the Summer Summit at Dutch Cove! We'll meet at Dutch Cove Baptist each night, 4161 Dutch Cove Road.
Sunday, June 11th - Thursday, June 15th from 6:00 - 8:30 pm each night. Doors opens at 5:30 pm each evening.
We hope you can join us!

Child's Name

Parent/Guardian's Name

Address 1

Mailing Address (if different)

Country

City

State

Zip/Postal Code

Best Number to Reach You:

Additional Number

Email Address

Child's Birthday

Last Grade Completed in School

T-Shirt Size

Food Allergies & Medical Information

Emergency Contacts: Names and Phone Numbers not listed above.

Dismissal Info: Who may pick up your child at the end of VBS?

Other Info: Does your child attend Sunday School? If yes, where?

Other Info: If your child is visiting our church, who are they a guest of?

May we have permission to photograph your child for promotional purposes?
Yes
No

Send

Summer Summit
registration
(6th - 12th Grade)

Summer Summit Registration Form

About

Service Times

Contact Info

Follow Us

Summer Summitregistration(6th - 12th Grade)

Summer Summit Registration Form

About

Service Times

Contact Info

Follow Us

Summer Summit
registration
(6th - 12th Grade)