new horizons baptist church
VBS 2018 Registration
Your Email:
 *
Last Name:
 *
Child #1:
 *
Date of Birth:
 *
Grade Entering:
 *
Child #2:
 
Date of Birth:
 
Grade Entering:
 
Child #3
 
Date of Birth:
 
Grade Entering:
 
Child #4
 
Date of Birth:
 
Grade Entering:
 
Parent/Guardian Name(s):
 *
Address:
 *
City, State, Zip:
 *
Home Phone:
 *
Cell Phone:
 
Medications:
 
Allergies:
 
Home Church:
 
Pastor:
 
Primary Emergency Contact - Other than Parent/Guardian ~ Name:
 *
Phone Number:
 *
Secondary Emergency Contact ~ Name
 
Phone:
 
Would you like to order VBS shirts for your children? If so, what sizes? They are $10 each.
 
My child(ren) have my permission to participate in the New Horizons Baptist Church The Adventurers 2017 - VBS program. By submitting this form, I will not hold the church, teachers or other members of NHBC responsible for any accident my child may suffer.*
Please initial and date:
 *
Verification Code:
Insert above code:
 * Required

NEW HORIZONS BAPTIST CHURCH: 17939 Paver Barnes Road Marysville, OH 43040 937-644-1776