VBS 2012 Sign-Up Form

*Required Field

You can register up to five children through this form. Children must have completed any grade from kindergarten through fifth grade.

*Child 01 Name:

*Child 01 Birth Date:

*Child 01 Last Grade Completed in School:

Child 01 Medical Information (include any food allergies or medication needs):

Click here to register multiple children.

If you are not registering multiple children, you may skip this section.

Child 02 Name:

Child 02 Birth Date:

Child 02 Last Grade Completed in School:

Child 02 Medical Information (include any food allergies or medication needs):

Child 03 Name:

Child 03 Birth Date:

Child 03 Last Grade Completed in School:

Child 03 Medical Information (include any food allergies or medication needs):

Child 04 Name:

Child 04 Birth Date:

Child 04 Last Grade Completed in School:

Child 04 Medical Information (include any food allergies or medication needs):

Child 05 Name:

Child 05 Birth Date:

Child 05 Last Grade Completed in School:

Child 05 Medical Information (include any food allergies or medication needs):

*Parent/Guardian Name:

*Parent/Guardian Email:

*Parent/Guardian Contact Phone:

*Home Address:

Mailing Address (if different):

*Emergency Contact 01 Name:

*Emergency Contact 01 Phone:

Emergency Contact 02 Name:

Emergency Contact 02 Phone:

*Who may pick up child each day? (You may list more than one person.)

*Do you attend church anywhere?
Yes No

If "Yes," where? If you attend Forest Park, please tell us which campus.

If you are visiting Forest Park, who are you a guest of?

*May we have permission to photograph your child for the purposes of creating promotional materials for Forest Park?
Yes No

If there is any additional information not covered in the questions above, please let us know below.

*Please enter the word you see in the message below.

Joplin Campus

Classic Service – 9:30 am
Modern Service – 10:50 am

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Carthage Campus

Sunday Services – 9:30 and 11:00 am

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North Campus

Saturday Services – 5:30 and 7:00 pm
Sunday Services – 9:30 and 11:00 am

Website | Directions | Blogs | Facebook

VBS 2012 Sign-Up Form

Click here to register multiple children.

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Carthage Campus

North Campus

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