VBS Preregistration Form

Vacation Bible School at South Harriman Baptist Church is June 18-22 from 9am to 12pm for children aged 3 years old through those who have just completed the 6th grade.

Please fill out and submit this form to preregister your child for Vacation Bible School. On the first day of VBS, your child's information will already be in our system, and you'll be able to check your child in a matter of seconds instead of waiting to fill out paperwork. 

Fields marked with an asterisk must be filled out.

Child's Name *
Child's Name
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Cell Phone Number *
Cell Phone Number
Please provide at least one reliable phone number you can be reached at. Addition phone numbers can be added below.
Home Phone Number
Home Phone Number
Child's Birthdate *
Child's Birthdate
Medical or other information we may need to know. (Please Include Any Food Allergies)
Please list at least one emergency contact with a phone number (other than listed above).
Will you be able to attend a lunch for the parents and children hosted on Friday June 22nd at noon? This is a great time to meet your child's teachers and enjoy a FREE lunch! *
Would you like to stay updated with the various ministries and Children's Programs at South Harriman? *