Anna Heights Baptist Church
Monday, November 12, 2018
We Love Our Town!

 

 

Worship Times

Sunday, 8:00 & 10:30 AM
Sunday School, 9:15 AM
Evening Worship 6:00 PM
 

Wednesdays

Children 6:00-8:00 PM
Youth Consumed 6:30 PM
Adult Bible Study 7:00 PM
 

 

 

 
 
 
 
 
 
 
 
 
 
Registration Form
 
 
July 16-20, 2018
   

Child’s Name

Address

City  State  Zip

Birthday  Age  Last grade completed  Male/Female 

EMERGENCY INFORMATION

Parent/Guardian Name

Mobile Phone

Work Phone

Mobile Phone 

Emergency Contact (other than Parent/Guardian)

Relationship to child  

Phone

Special Concerns (allergies, medications, medical conditions etc.)

TRANSPORTATION INFORMATION                                                                                                       Who may pick up your child at the end of each VBS day?

Do you need your child picked up or dropped off?     Yes   No                                                 Pickup/Drop off Location  

I, the undersigned parent/guardian, do hereby grant permission for my son/daughter, named above, to attend the GAME ON! VBS at Anna Heights Baptist. In order that my child may receive the proper medical treatment in the event that he/she may sustain injury or illness during GAME ON! VBS, I hereby authorize the VBS and church staff to obtain or provide medical treatment for my child for such injury or illness during the event.
 
I acknowledge and understand that my child is assuming risk of physical illness or injury by his/her participation, and I further release AHBC and its representatives from any claims for personal illness or injury that my child may sustain during the event.  I further acknowledge and understand that my child will be responsible for his/her failure to abide by the rules and regulations of the Vacation Bible School.

Name of Parent/Guardian

Signature Date     (By placing my name in this box electronically, I understand that this will represent my signature)

Please mark the one that applies to your family:

Attend Anna Heights     Attend another church    Do not attend anywhere

    

 

 
Click HERE to print out a registration form you fill out and drop off at the church.