VBS Nursery - Aenon Missionary Baptist Church

AENON 2019 Vacation Bible School July 8th – 12th 2019

Registration forms

Aenon VBS Nursery Program

July 8-12th 2019 9:00AM – 1:30PM

WE HAVE ZERO TOLERANCE FOR UNEXCEPTABLE BEHAVIOR HERE AT AENON BAPTIST CHURCH

(This program is available to Parents/Guardians that are students/participants in Vacation Bible School program and have children between ages of 12 and 30 months) Space is limited! Please select your status

Adult Volunteer with Infant Children or Young Adult with Infant Children:

Child's Name

Age (As of June 1, 2018)

Date of Birth

Name of Parent or Guardian

Phone Number

Address

City

State

Zip Code

List Special Requirements and/or Allergies here

Emergency Name  (In case of illness)

Emergency Phone

Name of person Responsible for Daily Pickup  other than the person listed above

Phone

Alternate pickup person

Phone

Please inform us of any Disabilities or Allergies. (we are not allowed to give medications) Please bring enough diapers, and food to meet your child’s needs for four hours each day, also include a change of clothes. Please sign out your child at end of each day ( there will be a sign out form in the room)