Adams Chapel Missionary Baptist Church
228 Adams Chapel Rd.
Dresden, TN 38225
(731) 364-5707

Register for VBS

*Must be present on Family Night to receive your FREE T-shirt!

* Required Fields

*First Name:
*Middle Name or Initial:
*Last Name:
*Parent's Name:
*Address:
*City, State, Zip:
*Phone:
*Age:
*Birthday:
*Grade Level Just Completed:
*Do you attend church anywhere?:	Yes No
Where?:
*E-mail Address:
Guest of:
*Any Medical Information that we need to be aware of (please include any food allergies):
*Who may pick up your child at the end of each VBS night?:
I need a ride on one of the church vans:
*Phone # where we can reach you,if needed, while your child is at VBS:
*Emergency Contact Person:
*Emergency Contact Phone #:
*Please Note: There will be live horses present during some nights of VBS. Children will have the opportunity to interact with horses during activity times during the week.:
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