FBC VBS 2021 Registration
Event Timing: June 20th-25th from 5:30pm - 8:30pm

Event Address: Franklin Baptist Church, 3810 Hwy 601, Salisbury, NC

Contact Sandi Hache at 980-643-0921 or Norma Thomas 704-433-5948

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Child's Name *
Parent/Guardian Name *
Address *
Mailing Address (if different)
CONTACT INFORMATION
Primary Phone Number *
Secondary Phone Number
Email Address *
AGE INFORMATION
Birth Date *
MM
/
DD
/
YYYY
Last Grade Completed in School *
MEDICAL INFORMATION
List of medical information including food allergies
EMERGENCY CONTACTS
List of names and phones numbers (other than listed above)
DISMISSAL INFORMATION
Who may pick up your child at the end of each day? *
OTHER INFORMATION
Does your child attend Sunday School? If so, where?
If your child is visiting our church, who are they a guest of?
May we have permission to photograph your child? *
May we have permission to use your child's photo for the purpose of promotion? *
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