Register Online!
Use the form below to register for VBS online!
Participant's Name
Participant's Home Address
Home Phone
Name(s) of Siblings Attending
Participant's Date of Birth
Participan's Grade '17-'18 School Year
Name(s) of Parent(s) or Guardian
Work Phone
Cell Phone
Allergy/Health Information
Emergency Contact 1
Emergency Contact 1 Phone Number
Emergency Contact 2
Emergency Contact 2 Phone Number
By clicking "Submit" you agree to the following...

I hereby grant permission for my child to participate in the Big Heart Farms Vacation Bible School sponsored by Court Street Baptist Church.

I recognize that Court Street Baptist Church uses photographs and video images of events in our publicity materials such as social networking sites or other online resources, newspapers, and newsletters and I hereby grant permission for photo/video images of my child to be taken and used for such purposes.

Should a medical emergency arise, the V.B.S. leaders will make every effort to contact a parent or legal guardian, but if they are unable to do so, I authorize the treatment of the minor listed above, by a qualified and licensed medical professional.