VBS Registration

VBS REGISTRATION

Please scroll down to register your child

June 5-9 2022
6:00-8:30 p.m. nightly

Children entering Kindergarten this fall - 12th Grade are invited!

* 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

Phone Number *

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

Name *

First

Last

Name of Home Church *

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

uhbc.office@gmail.com

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

Emailuhbc.office@gmail.com

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

uhbc.office@gmail.com

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