To Pre-Register children for VBS, please fill out and submit this form.

Please provide the following contact information:

Child’s Name*

Age

Birthday

Last Completed Grade

Mom’s Name

Dad’s Name

Address*

City*

State*

Zip*

Phone #

eMail

Emergency Contact Name*

Emergency Contact Phone*

Home Church

Special Needs
or Allergies

* Required Fields

One child per form please

Joy Baptist Church will not sell or distribute any information collected using this form