Child Registration Form 2026

CHILD INFO

Name

Preferred Name for Name Tag

Address

Gender

Male Female

Birthdate

Please indicate the grade this child just COMPLETED:

Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Allergies, Medical & Special Needs

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

Cell Phone

This address will receive a confirmation email

Emergency Contact Name (1)

Emergency Contact Phone (1)

Emergency Contact Name (2)

Emergency Contact Phone #2

OTHER INFORMATION

Let us know here of special food diet restrictions or allergies

Have you attended a church service in the last month?

YES NO

If so, where?

Guest of:

By checking this box, I give permission for North Pointe Baptist Church to obtain medical attention in the event of an emergency (and when a parent or emergency contact cannot be reached)

Yes No

By checking this box, I give permission for my child's photos to be used in print/online at the discretion of North Pointe Baptist Church. I understand that my child will NOT be named or tagged in any photo

YES NO

Anything else we need to know?/Comments

Description

June 2-5, 2024 from 6:00-8:30 pm

WELCOME to our VBS adventure at North Pointe Baptist Church, located at 147 E. Hurst Blvd., Hurst, Texas, 76053. Our VBS is for kids who have completed kindergarten thru sixth grade.

DATE: Sunday-Wednesday, June 5-8, 2022 from 6:00-8:30 PM

Go to www.npfam.com/vbs for more information. Contact Robert Schulze (robert@npfam.com) for additional questions. Please fill out this form and click submit to register your child.

Our Vacation Bible School event is limited to kids who have completed Kindergarten through Sixth Grade.

Please complete one registration form for each child and click submit.
Have any questions? Call the church office at 817-282-1040

Child Registration Form 2026

Description

Please Fix the Following