Emerald Crossing
VBS registration
(4 Years Old - 5th Grade)

Emerald Crossing Vacation Bible School
Registration Form

Mark your calendars for Emerald Crossing Vacation Bible School at Dutch Cove!
We'll meet at Dutch Cove Baptist each night, 4161 Dutch Cove Road.
Sunday, June 13th - Thursday, June 18th from 6:00 - 8:30 pm each night.
Registration 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

Emerald Crossing
VBS registration
(4 Years Old - 5th Grade)

Emerald Crossing Vacation Bible School
Registration Form

About

Service Times

Contact Info

Follow Us

Emerald CrossingVBS registration(4 Years Old - 5th Grade)

Emerald Crossing Vacation Bible SchoolRegistration Form

About

Service Times

Contact Info

Follow Us

Emerald Crossing
VBS registration
(4 Years Old - 5th Grade)

Emerald Crossing Vacation Bible School
Registration Form