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Colonial Hills
Baptist Church
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Vacation Bible School Registration
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Family/Parent Information
–
Step
1
of 2
How many children will you be registering for CHBC's Vacation Bible School?
*
One Child
One Child
Two Children
Three Children
Parent's/Guardian's Name
*
First
Last
Parent's/Guardian's Address (line 1)
*
Parent's/Guardian's Address (line 2)
City
*
State
*
Zip
*
Parent's/Guardian's Phone Number
*
Parent's/Guardian's Email
Emergency Contact Name
*
First
Last
Emergency Contact Phone Number
*
Child's/Children's Relationship to Emergency Contact
*
Next
First Child's Name
*
First
Last
Has First Child attended CHBC's Vacation Bible School in the past?
*
Yes
Yes
No
First Child's Gender
*
Male
Male
Female
First Child's Age
*
3 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
First Child's Grade in the fall of 2023?
*
Preschool
Preschool
K-4
K-5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
First Child's Allergies
*
Please list any allergies or put “none” if your child does not have allergies.
First Child's Medical Conditions:
*
Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.
Second Child:
Second Child's Name
*
First
Last
Has Second Child attended CHBC's VBS in the past?
*
Yes
No
Second Child's Gender
*
Male
Female
Second Child's Age
*
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
Second Child's Grade in the fall of 2023?
*
Preschool
K=4
K-5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Second Child's Allergies
*
Please list any allergies or put “none” if your child does not have allergies.
Second Child's Medical Conditions:
*
Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.
Third Child:
Third Child's Name
*
First
Last
Has Third Child attended CHBC's VBS in the past?
*
Yes
No
Third Child's Gender
*
Male
Female
Third Child's Age
*
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
Third Child's Grade in the fall of 2023?
*
Preschool
K-4
K-5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Third Child's Allergies
*
Please list any allergies or put “none” if your child does not have allergies.
Third Child's Medical Conditions:
*
Please list any medical conditions your child has, or put “none” if your child does not have any medical conditions.
Submit Registration