Virtual Vacation Bible School Registration Form

JUNE 20-24, 2022  |  7:00PM – 8:30PM

Theme:  Created in Christ * Designed for God’s Purpose

Scripture: Ephesians 2:10
“For we are his workmanship, created in Christ Jesus unto good works, which
God hath before ordained that we should walk in them.” (KJV)

Below is the registration form and instruction steps for the CBC VIRTUAL VACATION BIBLE SCHOOL

INSTRUCTIONS STEPS (Please complete one form per registrant):

1. Student’s Name – Include first and last name of adult filling out form.
2. Parent/Guardian Name – Include name of parent or guardian if registering children under age 18.
3. Email – Include full email address.

4. Contact Phone Number – Include home or cell number.
5. Select Assignment Class and Grade – Check the appropriate box for each class and grade.
6. Home Church – Include your home church.
7. Have you accepted Jesus Christ? – Check the appropriate box. 
8. Have you been baptized by immersion? – Check the appropriate box. 
9. Would you like to become a member of Chantilly Baptist Church? – Check the appropriate box.

1. Student Name:*
2. Parent/Guardian Name:*
3. Email:*
4. Contact Phone Number:*
5. Select Assignment Class Grade:*
6. Home Church:
7. Do you accept Jesus Christ as your Savior?:*
8. Have you been baptized by immersion?:*
9. Would you like to become a member of Chantilly Baptist Church?:*

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