First Baptist Church Booneville, MS

Registration Form

Complete the form below to register your child for VBS 2025.
If you have more than one child, please register each one individually!

If you are a human and are seeing this field, please leave it blank.

Child's First Name

Child's Last Name

Last Grade Completed

Parent's First Name

Parent's Last Name

Phone

Address 1

City

Zip / Post Code

Allergies/Medical Conditions

Emergency Contact Name

Emergency Contact Number