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Crown Heights Baptist Church
Home
VBS 2025 True North
Services
Ministries
Kourageous Kids Ministry
C.H.A.O.S Youth Ministry
Servants of Christ Bike Ministry
Iron Sharpens Iron Mens Ministry
Ruth Ladies Ministry
Contact Us
Home
VBS 2025 True North
Services
Ministries
Kourageous Kids Ministry
C.H.A.O.S Youth Ministry
Servants of Christ Bike Ministry
Iron Sharpens Iron Mens Ministry
Ruth Ladies Ministry
Contact Us
Vacation Bible School 2025
July 14th - 18th
6:00pm to 8:30pm
VBS 2025 Registration Form
Child's Name
(Required)
First
Last
Child's Gender
(Required)
Male
Female
Child's Age
(Required)
Please enter a number from
1
to
16
.
Last School Grade Completed
(Required)
4 year olds must have completed Pre-K to attend.
4 year olds must have completed Pre-K to attend.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's DOB
(Required)
MM slash DD slash YYYY
Name of Parent / Guardian(s)
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Main Parent / Guardian Phone
(Required)
Secondary Parent / Guardian Phone
Parent / Guardian Email
Home Church
Pickup Authorization 1
(Required)
The parents and guardians listed above are already authorized to pick up your child. If there are others you’ve authorized, please add their names. If there’s a change in pickup due to custody arrangements, please list all authorized individuals and the days they’ll pick up.
Pickup Authorization 2
Pickup Authorization 3
Pickup Authorization 4
Medical Information
Allergies, Medical Conditions, or Special Needs:
(Required)
In Case of Emergency, contact:
(Required)
Emergency Phone
(Required)
Relationship to the Child
(Required)
Media Release
We would like to ask permission for media release for pictures and videos for social media and website use. Sign below if you would like to give us permission to release us from liability to post pictures or videos of your child online.
E-Signature for Media Release Approval
Please type your full name here.