Iglesia Bautista Houston
5102 Texas St. 
Houston, Texas 77011

Ages: Pre-K through 6th Grade
Dates: June 22nd- June 26th (Sunday-Thursday)
Time: 5:45 - 8:30 PM
Lite supper provided & family meal Thursday night.

Name, Birth date, Last Grade Completed in School

Example: John Doe, 1/1/2017, 3rd Grade


If registering more than one child, please enter all the information (example above), for each child. Thank you!

Please list any medical information we need to know for your child/children. Please write thier name first then the medical information. Snacks will be provided  all 5 days.Please list any food allergies if applicable.

Emergency Contacts
Please write names and a good number.

If you are picking up your child, please write your name. If you are allowing someone else to pick them up, please list thier names.