Vacation Bible School | Shiloh Baptist Church of Middle TN

Student's Full Name

Address

City

State

Zip / Post Code

Age

Grade Entering in Fall 2022

Allergies/Special Needs

T-Shirt Size

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian E-Mail

Authorized Pickup

Do we have your permission to photograph your child during VBS?

Do we have your permission to use your child's photograph in our church publications (website, weekly newsletter)?