Theme image

Registracion del Participante

Go Back

Swift Creek Baptist Church

Location

7511 N Spring Run Rd

Midlothian, VA 23112

Map It

Contact Luke Long:

804-739-3001

luke.long@swiftcreekbaptist.org

Primero, cuéntenos sobre usted:

Información de los Padres

Thank you for registering for Vacation Bible School!

Our kids will be divided into groups based on their grade, and we will do our best to honor any friend requests within grades.

For our groups, we use the school system age cut off: kids will be placed in the age bracket/grade completed this past year. For our Pre-K, they will be in the class that matches their age as of August 2025.

Our Nursery, Toddler, and Two year old class are currently reserved for children of volunteers. If you are registering that age group, put their grade as Nursery.

Please let Pastor Luke know if you have any additional requests, questions, or ways we can help.

The blanks below are asking for parent information. Please begin registering with your first and last name.

Nombre

This field is required.

Apellido

This field is required.

Correo Electrónico

This field is required.

Dirección 1

This field is required.

Dirección 2

This field is required.

Ciudad

This field is required.

Estado/Provincia

This field is required.

ZIP/Código Postal

This field is required.

País

This field is required.

Teléfono de Contacto 1

This field is required.

Teléfono de Contacto 2

This field is required.

In the event of emergency who should we contact? Please provide their name.

This field is required.

Relación del Contacto de Emergencia

This field is required.

Teléfono del Contacto de Emergencia

This field is required.

Nombre de recogida alternativo

This field is required.

Teléfono de recogida alternativa

This field is required.

Do you have a church home?

This field is required.

Afiliación de la iglesia local

This field is required.

I understand that Swift Creek Baptist Church may take pictures videos for in house use and promotional content. I understand that if I wish to remove my permission I must contact Pastor Luke.

This field is required.

I understand drop off is between 8:45-9a and pick up is between 12 - 12:15p

This field is required.

I understand due to space/staff limitations, the nursery, Toddler room, and 2 year old room is currently reserved for children of volunteers only.

This field is required.

How did you hear about our VBS?

This field is required.

Comentarios

This field is required.

Cuéntanos sobre tu participante

Nombre

This field is required.

Apellido

This field is required.

Grado Saliendo

This field is required.

Género

This field is required.

Fecha de nacimiento

This field is required.

Alergias

This field is required.

Preocupaciones Médicas

This field is required.

Were you invited by any one? If so, type their name so we can do our best with group placement.

This field is required.

Comentarios

This field is required.

— or —