VBS Registration | Starr Baptist Church

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VBS Registration

Please take a moment to fill out the form.

Child 1 (Name, Age, Grade)

Child 2 (Name, Age, Grade)

Child 3 (Name, Age, Grade)

Child 4 (Name, Age, Grade)

Child 5 (Name, Age, Grade)

Parent First & Last Name

Parent Phone Number

Parent E-Mail Address

Home Address

Home Church

Emergency Contact First & Last Name

Emergeny Contact Phone Number

Is there anything special we should know about your child(ren)? (Allergies, Medication, etc.)

Thank you for registering!

Starr Baptist
Church

864-352-6596

secretary@starrbc.org

115 Stone's Throw Ave, PO Box 137

Starr, SC, 29684

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