VBS Child Registration

Please fill out this form for each child of yours to register your child/children to be checked in and out of VBS at Cheniere Baptist Church's Children's Ministry and click submit!

Parent/Guardian

Parent/Guardian – Name

*

Parent/Guardian – Relationship to Child

*

Parent/Guardian – Phone Number

*

Parent/Guardian – Email

*

This address will receive a confirmation email

Parent/Guardian – Address

*

Child's Information

Child's Name

*

Preferred Name

Birthdate

*

Status

*

Please select all that apply.

Child

Grade child will start in Aug. 2026

*

Please select one option.

Nursery (0–3 years old) PreK 4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Allergies/Medical Info (If applicable)

Medical Emergency Plan (If applicable)

Emergency Contact (other than listed above)- Name

*

Emergency Contact (other than listed above)-Phone Number

*

Additional notes/important information to know about the child or family dynamics.

Permission to photograph your child?

*

Please select all that apply.

Yes No

Permission to use your child's photo for the purpose of promotion?

*

Please select all that apply.

Yes No Contact Me First

Description

Please fill out this form for each child of yours to register your child/children to be checked in and out of VBS at Cheniere Baptist Church's Children's Ministry and click submit!

Please Fix the Following

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