2018 VBS "Game On" Registration

July 9-13 5:00-5:45 pm Dinner; 6:00-8:30 pm Camp | Thank you for registering your child for Southtown Baptist Church's 2018 "Game On" Sports Camp. We look forward to a fantastic week together!
As a reminder, we invite families to come early and join their child for a free dinner each night served 5:00-5:45pm. The Sports Camp is from 6:00-8:30 pm at Southtown Baptist Church. 2600 W. 82nd Street, Bloomington, MN 55431

Basic Information

Child's Name

Parent/Guardian Name

Address

Cell Phone

Parent Email

This address will receive a confirmation email

Age Information (Children age 4-going into 6th grade)

Child's Birthday MM/DD/YY

Last Grade Completed in School

Please select one option.

PK K 1st 2nd 3rd 4th 5th

Medical Information

Please list any medical or other information we need to know (please include any allergies or known behavioral issues)

Emergency Contact (other than parent/guardian listed above)

Emergency Contact Name

Emergency Contact Phone Number

Dismissal Information

Who may pick your child up? Separate names with a comma

Other Information

Does your child attend Sunday School?

Please select all that apply.

Yes No

If so, where?

Is your child an invited guest of a specific person?

Please select all that apply.

Yes No

If so, who?

May we have permission to photograph your child?

Please select all that apply.

Yes No

If we can photograph your child, may we have permission to use your child's photograph for the purpose of promotion or on our church social media?

Please select all that apply.

Yes No

I would like to receive information about Southtown's Children's Ministry

Please select all that apply.

Yes No

Description

July 9-13 5:00-5:45 pm Dinner; 6:00-8:30 pm Camp

Thank you for registering your child for Southtown Baptist Church's 2018 "Game On" Sports Camp. We look forward to a fantastic week together!
As a reminder, we invite families to come early and join their child for a free dinner each night served 5:00-5:45pm. The Sports Camp is from 6:00-8:30 pm at Southtown Baptist Church. 2600 W. 82nd Street, Bloomington, MN 55431

2018 VBS "Game On" Registration

Description

Please Fix the Following