Gateway Baptist Church
Wednesday, October 17, 2018
The Country Friendly Folks

VBS 2018 Enrollment


VBS Registration Form
Welcome to our 2018 online Registration Form.
Please complete the form below
and press the send button at the bottom.

This information is sent to the website administrator in a secure and confidential format.


Student Name  
City, State & Zip  
Phone number  
Birthdate (For Preschooler)  
Last grade completed in school (for children)  
Do you go to Sunday School  
If so, where?  
Medical or Other Information We Need to Know
In the event of an emergency, whom do we call?
Name Phone
Confirmation Email:
Your email address is Optional. This is only used to confirm we received your registration.