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2017 Vacation Bible School Registration Form

  1. Shiloh Baptist Church VBS

  2. Complete the following information to register for Vacation Bible School.

  3. Registration Information

  4. Children and Youth Classes

  5. Primary (Ages 2 yrs-4 yrs)- A Hands-On Experience With God

  6. Primary (Ages 5-6 yrs)- A Hands-On Experience With God

  7. Junior (Ages 7-9yrs) - A Hands-On Experience With God

  8. Pre-Teen (Ages 10-12 yrs)

  9. Youth (Ages 12+ yrs)

  10. Adult Classes

  11. Please use the drop menu to indicate your first, second, and third choice class.

  12. My One Word

  13. If You Want to Walk on Water

  14. Love and Respect

  15. Spiritual Discipleship

  16. Discerning the Voice of God

  17. Dinner is available each night. (5:45-6:30 pm) (cost is free ) Please select the nights you will be dining in.

  18. Additional Information

  19. Parental Agreement

    In the case of emergency, I understand that every effort will be made to contact me. If I can't be reached, I hereby give Shiloh Baptist Church permission to act on my behalf in seeking emergency treatment for my child in the event that such treatment is deemed necessary. I give permission to those administering emergency treatment to do so, using those mearusres deemed necessary.

  20. Photography/Video Agreement

    I give Shiloh Baptist Church and its representatives to take pictures and/or videos of my son/daughter for purposes of publicity and promotion on, social media outlets, and any work or promotion produced by the Church

  21. Leave This Blank:

  22. This field is not part of the form submission.