Pre-Registration - Vacation Bible School | Burtonsville Baptist Church Near Silver Spring in Montgomery County, Maryland

We're excited you're planning to join us for VBS! We're already preparing for you, looking forward to another great week of fun, Bible study, snacks, worship and more!

Thanks for pre-registering... it'll help us plan ahead and speed your registration on your first day. You may pre-register up to three learners at one time... remember to press the Submit button at the bottom of this form when you've completed the required entries!

If you have any questions or concerns, feel free to use the Contact Us form and we'll do our best to help!

Parent or Guardian's Name: *

Address

Street Address: *

City: *

State: *

Zip Code: *

E-Mail:

Emergency Contact Info: *

Please provide at least one name and phone number contact to be used in case of emergency; feel free to leave more than one contact!

Learner #1

Last Name: *

First Name: *

Date-of-Birth: *

Gender: *

Male

Female

Last Grade Completed on VBS Day 1: *

Learner #2 (click here to enter)

Last Name:

First Name:

Date-of-Birth:

Gender:

Male

Female

Last Grade Completed on VBS Day 1:

Learner #3 (click here to enter)

Last Name:

First Name:

Date-of-Birth:

Gender:

Male

Female

Last Grade Completed on VBS Day 1:

Medical, Special Needs

Allergies, Medical and Special Needs:

Please provide any allergies, medication or other special needs we should be aware of to help make your learner's time with us safe and fun.

Pre-Registration - Vacation Bible School

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