Vacation Bible School Registration Form
Evangel Baptist Church
17922 Broadfording Road ~ Hagerstown, MD  21740 ~ (301) 733-6711
  • Bible Time
  • Singing
  • Snacks
  • Games
  • Puppets
Come to VBS,
you Will have lots
of fun!
Please only register for children
going into grades Kindergarten thru 12th Grade for the up coming school year.
Any questions please read our
VBS web-page and/or please contact us.

If more than one child is attending, after submitting first child's registration, please resubmit
info. for second child and so on.  When you check in on your child's first day, please mention
you registered on-line.  Thank you.
Name of Child:
Date of Birth (00/00/????):
Grade entering into for upcoming school year:
K-12 only - sorry no Pre-K - needs to be over
the age of 4 yrs old)
Parent/Guardian Name:
Child being brought by:
Street Address:
Town - State - Zip:
E-mail address:
Home phone
Phone Numbers are of dire need:
if a problem should arise, we need a
GOOD direct phone # to contact you.
Thank you.
Cell phone
Allergies &
Health Issues:
Church Currently Attending:
How did you hear of our VBS?
** After clicking "Register"... and you get a box that appears stating: "This web page is being redirected to
a new location. Would you like to resend the form data you have typed to the new location?"
Please click... "OK"  
Thank you.