Market Street Baptist Church
2009 VBS Registration

WELCOME! We're very happy to have you use our online registration process to sign up your children Vacation Bible School! The registration process is an easy 3 step process:
 

1   Submit our registration form below on this page,
2   Donate securely online via PayPal,
3   Confirm your registration is complete!

 Solution Graphics

This process is straightforward and very easy to use. But if you have any questions, concerns or problems, please send e-mail to vbs@marketstreetbaptistchurch.org.

We will reply to your message as soon as we can.

Step 1 of 3 - Complete & Submit Our Registration Form

Please complete the form below and, when done, click on the "Submit Registration Form" button at the bottom of the page to continue to Step 2. Note that form fields marked with * are required fields. You will not be allowed to submit the form unless all required fields are filled.

Family Contact Information
* Parent's First Name:
 
Parent's Middle Name/Initial:
 
* Parent's Last Name:
 
* Street Address Line 1:
 
Street Address Line 2:
 
*City/Town:
 
*State:
 
*ZIP Code:
 
*Phone (###-###-####):
 
Cell Phone (###-###-####):
 
*E-mail Address:
 
*Retype E-mail Address:
 

 

Emergency Contact Information
 Same as Above
* Emergency Contact First Name:
 
* Emergency Contact Last Name:
 
* Emergency Contact Phone (###-###-####):
 

 

Child Information
Enter information for each child you are registering on separate lines below (one line per child).
1 * First Name:
 Middle Name:
 * Last Name:
 * Date of Birth
(mm/dd/yyyy):
 Gender:
 Food Allergies (if any) / Other Notes:
2
3
4
5
6


Comments:
 

 

Other Information
How did you hear about this event?
 
Do you currently attend a church?
 
If yes, which church?