Maranatha Baptist Church
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Monday - Friday
June 19-23, 2017
6:30-8:00 PM
Family Registration Form
*
Indicates required field
Dad/Guardian Name
*
First
Last
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mom/Guardian Name
*
First
Last
Home Phone Number
*
Cell or Secondary Phone Number
*
Work Phone Number
*
Email
*
Do you attend church?
*
Yes
No
In the past, but not currently.
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
May this person pick up your child(ren)?
*
Yes
No
Relationship to Child
*
Child 1 Name
*
Age
*
5
6
7
8
9
10
11
Last Grade Completed
*
Gender
*
Boy
Girl
Birth Date
*
Month/Day/Year
Child 2 Name
*
Age
*
5
6
7
8
9
10
11
Last Grade Completed
*
Gender
*
Boy
Girl
Birth Date
*
Month/Day/Year
Child 3 Name
*
Age
*
5
6
7
8
9
10
11
Last Grade Completed
*
Gender
*
Boy
Girl
Birth Date
*
Month/Day/Year
Child 4 Name
*
Age
*
5
6
7
8
9
10
11
Last Grade Completed
*
Gender
*
Boy
Girl
Birth Date
*
Month/Day/Year
Child 5 Name
*
Age
*
5
6
7
8
9
10
11
Last Grade Completed
*
Gender
*
Boy
Girl
Birth Date
*
Month/Day/Year
Child 6 Name
*
Age
*
5
6
7
8
9
10
11
Last Grade Completed
*
Gender
*
Boy
Girl
Birth Date
*
Month/Day/Year
Allergies/Medical Conditions
*
Please list any allergies or medical conditions we should be aware of in regards to each child listed above.
How did you hear about VBS at Maranatha?
*
Our Church Website
Our Church Facebook Page
Daily Herald
Online Calendar
Someone visited my home
A friend invited me
I received an invite via e-mail
I received an invite via postal mail
Check all that apply.
Consent To Participate
I give consent for my child to attend Maranatha Baptist Church’s VBS June 19-23, 2017.
In the event that he/she is injured while under the care of MBC and its representatives and requires the attention of a doctor, I hereby consent to and will be responsible for any reasonable first aid administered by an MBC representative and/or medical treatment as deemed necessary by a licensed physician. I further agree to hold Maranatha Baptist Church and all MBC employees, volunteers and representatives free and harmless of any claims, demands or suits for damages arising from the authorization and provision of such first aid/medical treatment. I understand the nature of the events and do hereby release Maranatha Baptist Church and its representatives from any liability due to accident or injury incurred by my child.
Pictures will be taken during VBS and may appear without names on our Facebook page or our website.
If I am unable to transport my child to or from VBS, I give consent for MBC to transport my child in one of their passenger carrying vans or in a church member’s private vehicle.
Parent/Guardian Name
*
First
Last
Submit
Welcome
Member Login
About
Our Pastor
Our History
What We Believe
Ministries
Infants & Toddlers
Children
Teens
Adults
Special Events
Upcoming Events
Photos From Recent Events
Missions
Home Missionaries
Foreign Missionaries
US Missions Organizations
Recent Missions Trips
Services
COVID-19 Safety
Service Times
Sermons Online
>
January 2021
December 2020
November 2020
October 2020
September 2020
August 2020
July 2020
June 2020
May 2020
April 2020
March 2020
February 2020
January 2020
December 2019
November 2019
October 2019
September 2019
August 2019
July 2019
June 2019
May 2019
April 2019
March 2019
February 2019
January 2019
December 2018
November 2018
October 2018
September 2018
August 2018
July 2018
June 2018
May 2018
April 2018
March 2018
February 2018
January 2018
December 2017
November 2017
October 2017
September 2017
August 2017
July 2017
June 2017
May 2017
April 2017
March 2017
Good News
How to Become a Christian
Resources for New Believers
Contact Us