New Antioch Baptist Church
Saturday, October 21, 2017
Sharing God's love with all people, guiding them to a personal and growing relationship in Jesus Christ.
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VBS Registration

 
Child's Name  
 
Parent/Guardian Name 
 
Address 
 
 City      
 
Phone/Cell  
 
Email
 
Birthdate
 
Last Grade Completed In School  
 
Medical Information (Include Food Allergies)
Emergency Contact Name/Phone 
Permission to photograph your child? yes
                                                       no
Who may pick up your child at the end of each VBS day?
 Do you attent church? yes    Where?
                                  no