Vacation Bible School

July 29-31, 2025

6:15-8:30 pm

Dinner provided startS at 5:45pm

Glen Hope Baptist Church

911 North Avenue
Burlington, NC, 27217

REGISTRATION Form

Parent or Guardian Name

First Name

Last Name

Phone (Emergency Contact)

(###)

###

####

Additional Parent/Guardian Name

Phone (Second Contact)

(###)

###

####

Address

Enter Street, City, State, Zip Code

Email Address

Child's Name

First Name

Last Name

Grade most recently completed

Choose the child's most recently completed grade in school

Allergies or Special Needs?

Other Children (siblings) and grade most recently completed

Siblings who live in the same household, have the same emergency contact and will attend VBS

Other Important Information (allergies for siblings, etc.)

Photo Release:

Glen Hope has permission to use photographs taken of my child during VBS and I understand no identifying information will be displayed with photos.

Yes

Vacation Bible School

July 29-31, 2025

6:15-8:30 pm

Dinner provided startS at 5:45pm

Glen Hope Baptist Church

911 North Avenue
Burlington, NC, 27217

REGISTRATION Form

Glen Hope Baptist Church
911 North Avenue, Burlington, NC 27217

(336) 226-3325

Vacation Bible School

July 29-31, 2025

6:15-8:30 pm

Dinner provided startS at 5:45pm

Glen Hope Baptist Church

911 North AvenueBurlington, NC, 27217

REGISTRATION Form

911 North Avenue
Burlington, NC, 27217