Camp BapTab Registration

To register your child for Camp BapTab VBS please complete the form below and click SEND.

Child's Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Address

Child's Primary Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

Child's Date of Birth

YYYY

Phone

Primary Contact Number

(###)

###

####

Primary email for communication (will not be shared outside of BapTab Church)

Gender

Child's Gender

Last school grade completed

Allergies

Does this child have any food and/or allergies or any medical conditions tha we should be aware of? If so, please list and explain:

Additional Contact info

Please list the names and #'s of those who are authorized to pick up your child (we will not release your child to anyone other than those individuals listed on this registration form without your verbal consent)

Additional Information

Is there anything else you would like us to know or be aware of?

List any other children from this household that are registered as well

How did you hear about our VBS?