VBS Registration

Please scroll to the online form below to register your child

June 2-6, 2024
6:00-8:30 p.m. nightly

Children entering Kindergarten this fall - 12th Grade are invited!
We are excited to offer an Adult Class this year!
(The Adult Class will meet in the Senior Adult Classroom)
Everyone welcome!
A great meal will be served each night!

* Indicates required field

Child's Name *

First

Last

Gender *

Male Female

Birthdate *

Grade Completed *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian *

First

Last

Cell Phone *

Email *

Emergency Contact *

First

Last

Relationship to Child *

Phone Number *

Who can pick up your child other than Parent or Guardian listed above?

Name *

First

Last

Phone Number *

Name of Home Church *

City *

State *

Food Allergies? *

Yes No

Please List Food Allergies *

Medical Concerns? *

Yes No

Please Explain *

Be sure to Submit your completed form! Thank you!

Submit

VBS REGISTRATION

We Would Love to Have You Visit Soon!

Office Hours

Tues, Wed, & Thu: 9am-4pm

Telephone

615-529-2880

Email

[email protected]

Tune in Monday-Friday to

"CROSS CONNECTION"
at 11:55 AM
Sponsored by Upper Helton Baptist Church
on WJLE-107.5 FM 1480 AM Smithville, TN

VBS REGISTRATION

We Would Love to Have You Visit Soon!

Office HoursTues, Wed, & Thu: 9am-4pm

Telephone615-529-2880

Email[email protected]

Tune in Monday-Friday to​"CROSS CONNECTION"at 11:55 AMSponsored by Upper Helton Baptist Churchon WJLE-107.5 FM 1480 AM Smithville, TN

Office Hours

Tues, Wed, & Thu: 9am-4pm

Telephone

615-529-2880

Email

[email protected]

Tune in Monday-Friday to

"CROSS CONNECTION"
at 11:55 AM
Sponsored by Upper Helton Baptist Church
on WJLE-107.5 FM 1480 AM Smithville, TN