Dutchtown Baptist Church - VBS Registration

Dutchtown Baptist

Stellar VBS 2023 Registration

Kids will launch on a cosmic quest where they'll have a blast shining Jesus' light to the world. June 26 - 30 from 6:30pm to 8:45 pm each day. Join us Friday night for family night full of fun, food, and activities.

Parent/Guardian

Contact

✕

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

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Are you currently connected to a local church?

Yes

No

If yes, where do you attend church.

Emergency Contact

Contact

✕

First Name

Last Name

Phone Number

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Contact

✕

First Name

Last Name

Date of birth

Gender

Add another person

Do any of your children have allergies we should be aware of? Please list the child with the allergy.