Topsy-Turvy Kingdom Registration Form

Primary Contact

This address will receive a confirmation email

Phone

Address

Do you have a home church you regularly attend? Yes No

If yes, what is the name of the church?

Emergency Contact

Please provide the information of a second contact in case of emergency.

Name

Phone

Pick-up Permission

Please list the name and phone numbers of adults allowed to pick up your children.

Child Registration

Full Name

Age

Date of Birth

Grade Completed

Allergies or any concerns we need to know about.

Child Registration

Full Name

Age

Date of Birth

Grade Completed

Allergies or any concerns we need to know about.

Child Registration

Full Name

Age

Date of Birth

Grade Completed

Allergies or any concerns we need to know about.

Child Registration

Full Name

Age

Date of Birth

Grade Completed

Allergies or any concerns we need to know about.

Photo Release

May we have permission to use your child's photograph for event video (will not be posted online or used beyond VBS)?

Yes No

Description

July 14-18, 6:00-8:30 pm

Register here for "Topsy-Turvy Kingdom," Calvary Baptist Church's summer kids program.
This form is for online registration. This form will close at 9:00 am, Monday, July 14th.

Topsy-Turvy Kingdom Registration Form

Description

Please Fix the Following