Bulletin Plus :: Church Form

Thank You, we have received your form.

Registration is $20 (plus fees)/family.

For payment, please visit our Eventbrite page HERE.
Parent/Guardian's First and Last Name
Email
Address

City, State Zip
Phone
Child's Name(s)

Please Enter the Names and Ages of all Children Attending:
First and Last Name
Age:
First and Last Name
Age:
First and Last Name
Age:
First and Last Name
Age:
First and Last Name
Age:
First and Last Name:
Age:
First and Last Name:
Age:
First and Last Name:
Age:
Science Pack?

Yes, I would like one. (I will be contacted later with science pack pickup dates) No, I will provide my own supplies. (A list will be sent to me.)
I would like a science activity booklet. (Max. 1 science booklet/child)
I give Ebenezer Baptist Church permission to use pictures and videos taken during VBS to be used in promo videos or posted on our Facebook and Instagram (no names will be used).

Yes (please sign below) No
Signature:

Clear Signature
Send Copy To (Your Email)

Submit