VBS Pre-Registration Form

Please fill out a separate form for each student that will attend VBS.

(The Deadline to fill out this online pre-registration form is Saturday, July 12 at 11:59 p.m. All students who try to register after that time will have to do such on-site at VBS.)

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Student’s Name

Address

Contact Name

Contact Phone Number

Relationship to Student

Age of Student

Last School Grade Completed

Allergies/Medical Conditions (If none, please type “none”)

Emergency Contact Information (Please include: name, a good contact number, & relationship to the student)

Do you and your child have a church home? If so, please list the name of the church as well as the city and state

Please list any additional information we need to know about your child

If you need to contact us directly about this form, please call us at (870) 863-4666 or come by our office and fill out a form there.

Please review your information before clicking “Submit.” If you submit this form, you are giving permission for your student to participate in the Vacation Bible School at El Dorado Missionary Baptist Church.

El Dorado Missionary Baptist Church

Seizing Every Opportunity for Christ

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