Emmanuel Baptist Church | Cassville, MO

VBS Registration Form

Parent/Guardian Information

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Home Church?

Emergency Contact Information

First Name

Last Name

Phone Number

Do any of the children need Church Bus Services for VBS?

Yes

No

Address for Pick-up

Apartment, suite, etc.

City

State

Zip/Postal Code

Child 1 Information

First Name

Last Name

Gender

Birthdate

Grade for 2025 - 2026:

Allergies or other Medical Concerns

Child 2 Information

First Name

Last Name

Gender

Birthdate

Grade for 2025 - 2026:

Allergies or other Medical Concerns

Child 3 Information

First Name

Last Name

Gender

Birthdate

Grade for 2025 - 2026:

Allergies or other Medical Concerns

VBS Registration Form

Parent/Guardian Information

Emergency Contact Information

About

Service Times

Contact Info

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