VBS Registration | Harbor Baptist Church

First Name of Parent*

Last Name of Parent*

Name(s) and ages of children attending:*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What day will you be attending? (Mark all that apply)*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday

Phone*

Email*

Please select an option:*

I will bring my child and pick them up
I would like my child picked up on the bus

Please list any allergies, food allergies, or additional information you would like us to know concerning your child. (Optional)

Parental Permission*

By Submitting this form, I hereby grant permission for my child to attend the Vacation Bible School program at Harbor Baptist Church, located at 5801 Old Concord Road, Charlotte, NC 28213. Type Parent/Guardian name.