Child’s Name

Age

Grade

Birthday

Parent’s Name

Cell Phone

Emergency Contact

Cell Phone

Allergies or Special Notes

May we photograph?

Yes

May we use photograph in presentation?

Yes

Transportation to VBS

I will be dropped off and picked up

I will need transportation to and from VBS (Glasgow, KY city limits)

Please enter address if transportation is needed

Bethel Independent Baptist Church

Youth Camp (Ages 13-19) June 16-20

Junior Camp (Ages 8-12) June 30-July 4

Family Camp (All ages) July 27-July 30

Nancy, Kentucky

Camp Canaan Youth Campers 2025