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Vacation Bible School

3 years - 5th Grade

     June 7 - 11

9:00 a.m. - 12:00 p.m.
 

Complete the form below to register your child for Vacation Bible School.

 
 
Name:  
Street Address:  
City:  
State:  
Zip Code:  
Home/Work Phone Number:  
Cell Phone Number:  
Date of Birth:   (example: 1/1/2001)
    Please note: 3 year olds must be potty trained in order to attend VBS.
Grade Completed in School:
(Including Pre-K)		  
Do you go to Sunday School?  
        If so, where?  
Have you accepted Jesus as your Savior?   
Please list any medical or other information we need to know.  Please include any food allergies.
In case of an emergency, whom do we call?
Name:    Phone:
Name:    Phone:
Who may pick up this child at the end of each VBS day?
     

 
Ascension Baptist Church
Mailing Address ~ P.O. Box 667 ~ Gonzales, Louisiana 70707
13432 Airline Highway ~ Gonzales, Louisiana 70737 ~ Phone: (225) 644-0111 ~ Fax: (225) 644-7028
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