BAPTIST CHURCH
17922 Broadfording Road
Hagerstown, MD 21740
(301) 733-6711
E
Click here
for a map
of our location
vangel
VBS Registration Form
*
Required
*
Childs name:
Grade Attending
next year '10-'11:
Choose Grade
Nursery
2 yrs. old
3 yrs. old
4 yrs. old
5 yrs. old / Kinder.
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Birthdate:
*
Nursery thru 4yrs old classes are for children/grandchildren
of VBS staff members and helpers only.
Address:
*
Home Phone:
*
Cell Phone:
Phone Numbers - We need something that we can reach you encase
of an emergency during VBS hours.
Parent/Guardian:
*
Brought by:
*
Church:
Email:
Comments,
something
special about
your child
(allergies):
*