Vacation Bible School (VBS) at

Southside Tabernacle

Baptist Church

June 24 - 26, 2026

6:00 PM - 8:00 PM, nightly

Vacation Bible School (VBS) Registration Form

Please complete this form to register your child for VBS. If you are registering multiple children, please use one form for each child.

***It is our goal to keep all children safe in a fun Christian learning environment in VBS.***.

Child's Name

Child's Current Age

Child's Birth Date

What school grade did your child just complete?

Address (House Number/Street Name/Zip)

Parent / Guardian's Name(s)

Home Phone Number

Cell/Mobile Phone Number

Email Address

Preferred Contact Method

Texts to Cell / Mobile

Church Home

Child's Known Allergies

VBS photos for Southside Tabernacle Church's social media

Yes

Emergency Contact Person's Name

Emergency Contact Person's Relationship to Child

Emergency Contact Person's Phone Number

Secondary Emergency Contact Person Name and Phone Number

Secondary Emergency Contact Person's Relationship to Child

Who may pick up your child at the end of VBS each day? Please give full name.

What is the person's phone number who may pick up your child from VBS each night?

What is the person's relationship to your child who may pick up your child from VBS each night?

Secondary pick-up person from VBS (Name and Phone Number), if applicable

Secondary pick-up person from VBS relationship to your child, is applicable

Parent / Guardian's Form Completion and Consent

By checking this box, you agree that you have completed this form truthfully and with correct information.

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CHURCH OFFICE PHONE:

(727) 327-9711

CHURCH EMAIL:

SSTBC-CHURCH@OUTLOOK.COM

Tech / Communications Email: sstbctech@gmail.com