VBS Go 2021 - Concrete and Cranes

Participant Registration

If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)

If you have previously registered with us for a prior event, you can search for your stored information instead of filling out the form below.

Personal Information

Thank you for registering for Canton First Baptist Backyard VBS 2021! We are excited that you will be joining us June 14th-16th at the location you have chosen. Each day you will meet for a time of music, bible lesson, crafts, refreshments, recreation and more! We look forward to having you join us. See you at the Backyard VBS this summer! Pastor Keith
*Participant's First Name:
*Participant's Last Name:
*Birthday: (MM/DD/YYYY)
*Last Grade Completed:
*Parent/Guardian Name:
*Address:
*City:
*State:
*Zip:
Cell Phone: (555-555-5555)
Home Phone: (555-555-5555)
Email:
*I would like for the host home to contact before start date.
*I will be attending Backyard VBS at this location:
Parent location during VBS:
*Emergency Contact Name (1):
*Emergency Contact Phone (1): (555-555-5555)
Emergency Contact Name (2):
Emergency Contact Phone (2): (555-555-5555)
Allergies, Medical, & Special Needs: (Leave Blank if None)
*Authorized Pickup #1:
Authorized Pickup #2:
Do you attend Church?	Yes
If so, where?
May we have permission to photograph your child?	Yes
May we have permission to use your child's photograph in church publications?	Yes
Comments: