To Pre-Register children for VBS, please fill out and submit this form.

Please provide the following contact information:

Child’s Name*
Age
Mom’s Name
Dad’s Name
Address*
City*
State*
Zip*
Phone #
eMail
Emergency Contact Name*
Emergency Contact Phone*
Special Needs or Allergies

* Required Fields

One child per form please

Joy Baptist Church will not sell or distribute any information collected using this form