Vacation Bible School
June 23-27, 2025

9:00am - 12:00pm
Ages 4-12

Registration Form

(Please submit one per child)

Child's First Name*

Child's Last name*

Age*

Birthday*

Month

Day

Year

Last School Grade Completed*

Parent/Guardian Name*

Mailing Address*

Parent/Guardian Phone Number*

Parent/Guardian Email*

Consent to photograph*

Yes

No

Allergies/Medical Conditions/Special Needs*

In Case of Emergency

Emergency Contact Name*

Emergency Contact Phone Number*

Emergency Contact Relationship to Child*

Pick Up Permissions

Name of Person Picking Up Child*

Cell Phone of Person Picking Up Child*

Names of All Children Being Picked Up*

*Please let a volunteer at the registration table know if someone other than who is listed is picking up your children. We will need their name and cell phone number.

MACHIAS VALLEY BAPTIST CHURCH

8 Broadway | Machias, Maine | 04654

(207) 255-4476

Sunday Morning Worship 10:30am

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Vacation Bible School June 23-27, 2025

9:00am - 12:00pm Ages 4-12

Registration Form

In Case of Emergency

Pick Up Permissions

Vacation Bible School
June 23-27, 2025

9:00am - 12:00pm
Ages 4-12