Register Your Child

Thank you for registering for VBS at Brewton Baptist Church!

We’re excited and look forward to seeing your student(s) May 31–June 3.

VBS will begin each night at 6:00 PM, and dinner will be provided nightly.

If you have any questions, please feel free to contact us at:
vbs@brewtonbaptistchurch.org

We can’t wait for a great week at Illumination Station!

We found some errors when you submitted your information. Please see below and fill in the information needed.

Parent Personal Information

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

Country:

State:

Zip:

Email:

Re-Enter Email:

Home Phone Number: (xxx-xxx-xxxx)

Cell Phone Number: (xxx-xxx-xxxx)

Other Phone Number: (xxx-xxx-xxxx)

Emergency Contact

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Phone 1: (xxx-xxx-xxxx)

Emergency Phone 2: (xxx-xxx-xxxx)

Alternate Pickup First Name:

Alternate Pickup Last Name:

Alternate Pickup Phone: (xxx-xxx-xxxx)

Other Information

Home Church (If Applicable):