ONLINE REGISTRATION
The theme for 2013 Vacation Bible School is COLOSSAL COASTER WORLD!  We are looking forward to having your child(ren).

We appreciate you registering in advance, please make sure to fill in all required fields.  Once completed, click the "submit" button.  

Available for purchase:  T-shirts for $10.00 and Music CD's for $5.00.  If you pre-ordered your t-shirt, please pick it up on Monday morning.  If you have any questions, please contact Carolyn Cayford at 361 991-2910.

June 24-28, 2013          9:00am-Noon          K-5th graders (completed)

BRIGHTON PARK BAPTIST CHURCH
3418 Airline Road    Corpus Christi, Texas  78414
361 991-2910

Child's Name

Parent/Guardian Name

Address (street address, city, state, zip)

Mailing Address (if different)

Home Phone number (type "none" if none)

Work Phone Number (type "none" if none)

Cell Phone Number (type "none" if none)

Email Address (type "none" if none)

Child's Birthdate

Last Grade completed in school

Medical information we need to know (please include any food allergies)

Emergency Contact information (please list the names of TWO different people and their phone numbers)

Who may pick up your child at the end of the VBS day?

Does your child attend Sunday School?

• Yes

• No

If so, where?

How did you hear about VBS?

May we have permission to photograph your child?

• Yes

• No

May we have permission to use your child's photograph for the purpose of promotion?

• Yes

• No

VBS T-SHIRTS are available ($10.00 ea) YES, I would like to order a VBS T-SHIRT.

Choose... Youth Small Youth Medium Youth Large Adult Small Adult Medium

VBS MUSIC CD's are available ($5.00 ea) YES, I would like to order a VBS CD.

Choose... 1 - CD 2 - CD's