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VBS Registration
June 21-25 ---- 9AM - 12 PM
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Gender
*
Male
Female
Grade Last Completed
*
4/Pre-K
Kinder
1st
2nd
3rd
4th
5th
6th
Other:
Age
*
Your answer
Parent's Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Address
*
Your answer
City
*
Your answer
In Case of Emergency (Name & Number)
*
Your answer
Do you attend FBC
Yes
Other:
May We Photograph your Child?
*
Yes
No
May we use your child's photo in church publications?
*
Yes
No
T-shirt (optional) $8 (pay on arrival)(some sizes may be limited)
YS
YM
YL
YXL
AS
AM
AL
AXL
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Allergies, Medicines, Special Needs?
Your answer
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