Vacation Bible School is June 10 – 13, 2024 – 9:00 AM – Noon

VBS is for children age 5 by September 2nd through the completion of 6th grade.

First Baptist Church Louisville - VBS Registration Form 2024

Name of Child (Child 1) *

First

Last

Birthdate

Grade Just Completed (Child 1)K4K51st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade

Name of Child 2 (Child 2)

First

Last

Birthdate

Grade Just Completed (Child 2)K4K51st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade

Name of Child (Child 3)

First

Last

Birthdate

Grade Just Completed (Child 3)K4K51st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade

Parent/Legal Guardian *

First

Last

Best Phone Number *

Medical / Allergy Info We Need To Know (For All Children) *

Mailing Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Emergency Contact (Name) *

First

Last

Emergency Contact (Phone Number) *

Do You Attend Church

• Yes
• No

Dismissal Information: Who may pick up your child at the end of each VBS day?

May we have permission to photograph your child? *

• Yes
• No

Submit