First Baptist Church Gordonsville Vacation Bible School May 31st-June 3rd 9AM-Noon

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Email *

Name *

Grade in school just finished: *

3 Years Old

4 Years old/No Pre-K

Pre-K

1st

2nd

3rd

4th

5th

6th

Parents Name *

Address *

Telephone Number *

Are there any Allergies, Medical, and Special Needs we need to know?(If none please leave blank) *

Emergency Contact Name *

Emergency Contact Number *

Who is authorized to pick up your child? *

By registering my child for VBS, I understand that First Baptist Church Gordonsville (FBCG) may take and use pictures that include my child on their website/social media/print publications and that no personal information about any children will appear with those pictures. *

I agree

I do not want my child picture to be taken.

Send me a copy of my responses.

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