VBS Teens – Cornerstone Baptist Church

Name of Parent or Guardian *

First

Last

Phone Number *

Please enter your phone number.

Email

You may provide your email address, if you would like.

Address *

Please enter your address.

First Teen's Name *

First Teen's Age *

Select teen’s age.

Second Teen's Name

Second Teen's Age

Select teen’s age.

More than 2 Teens Registering? Enter their Names and Age Here.

Home Church

Enter the name of your home church; if no church affiliation, leave blank.

Transportation Needed? – Busing is available for some areas of Newmarket *

If you check yes, we will contact you to confirm.

Special Instructions/Questions

Please enter any questions you may have.