Keepers of the Kingdom Registration

Attention all young lords and young ladies! Plan to kick off your summer vacation with an exciting medieval-themed VBS adventure at WMBC June 26th – 30th in the year of our Lord 2023. You will encounter tons of fun: science experiments, crafts, play games, experience hands on learning from God’s Word, enjoy music and feast on treats. You won’t want to miss “Keepers of the Kingdom” VBS 2023 Adventure! For more information call the church at 265-2557 or email westernmountainbaptist@tds.net. You may pre-register here online, call the church or email requesting a registration form or just show up at 9:00am, June 26-30. Hope to see you there!

Registration Details

Child's Name *

Gender *MaleFemale

Birthdate *

Grade Completed *

Street Address *

City *

State *

ZIP / Postal Code *

Parent/Guardian *

Phone *

Email Address *

Emergency Contact *

Relactionship to Child *

Phone *

Who can pick up your child? *

Name of Home Church *

Food Alergies *YesNo

Allerty List

Medical Concerns *YesNo

Medical Concerns List

Permission to Use Images and Video

I hereby grant permission for Western Mountains Baptist Church to record sounds, images, or videos of my child, {name-1}, while attending this VBS program.  I also give permission for Western Mountains Baptist Church at its sole discretion, to use these sounds, images, or videos in publications (including print, websites, and social media platforms) owned by Western Mountains Baptist Church in relation to this VBS program.

Signature *

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Date *

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