Vacation Bible School 2023

Join us for VBS June 4-8, 2023!

Payment for VBS shirts should be made at this link after submitting this registration form.

    Child Information

    * Last Name * First Name MI
    * Last Grade Completed in School * Date of Birth (mm/dd/yyyy)

    Parent / Guardian Information

    * Last Name * First Name MI
    * Address
    * City State Zipcode

    Contact Information

    * Home Phone Cell Phone
    * Your Email
    Mailing Address (if different from above)
    City State Zipcode

    Medical Information
    * Medical or other information we need to know. (Please include any food allergies.)

    Emergency Contacts (Other than listed above.)
    * Name: * Phone:
    * Name: * Phone:

    Dismissal Information
    * Who may pick up your child at the end of VBS?

    Does your child currently attend Sunday School?
    YesNo If yes, where?
    If your child is visiting our church, who are they a guest of?
    * May we have permission to photograph your child?
    YesNo
    * May we have permission to use your child's photograph for promotion of our programs?
    YesNo

    * T-Shirt Size (Youth Small - Adult XXL):

    Other Notes

    Payment for VBS shirts should be made at this link after submitting this registration form.

     

    Where We Are

    Our Street Address:

    8801 Perrymont Road
    Richmond VA 23237

    Phone Number: 804-275-1285
    Email Address: office@kingslandbaptist.com

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