Welcome | Cooley Springs Baptist Church

VBS

Sun, Jun 1st, 6:00pm - Thu, Jun 5th, 8:30pm

You are registering for: VBS

Please provide the requested information below.

Your Name

If you are filling out this form for someone other than yourself, enter YOUR name here.

New Attendee

Name (Required)

Email Address (Required)

Enter the email address of the attendee, or the email of a parent/guardian if this attendee is a minor

Participant Name (First & Last) (Required)

Age Group (Required)

Age (for children 3-12)

Grade Just Completed:

Address (Required)

Any Known Allergies? (Required)

Allergies:

Please list any known allergies

Do you regular attend a local church?

Parent/Guardian Name:

Relationship to the child

Your Phone Number (Required)

Cooley Springs Baptist Church