2024 VBS - Southwest Campus: Breaker Rock Beach Registration
* 2024 VBS is open to children 5 years and older who have completed grades K-5th as of June 2024. *

Please complete the following information to register your child for FCC's 2024 Vacation Bible School.

This session will be held at the Faith Christian School, Monday, June 10th - Friday, June 14th from 6:00pm - 8:00pm.

You may register up to three children on this form.  Please complete a separate form for additional children.
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Email *
Parent/Guardian's Name(s) *
Parent/Guardian's Email Address *
Parent/Guardian's Phone Number                                                                                                                     (This is also the number that will be used in the event that we need to contact a parent or guardian during VBS sessions.) *
Home Address *
Child #1 - Name *
Child #1 - Date of Birth *
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DD
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Child #1 - Age *
School Attended for 2023 - 2024 *
Child #1 - Grade Completed *
Does your child have any allergies, learning differences, disability or any other special needs of which we need to be aware?
Child #2 - Name
Child #2 - Date of Birth
MM
/
DD
/
YYYY
Child #2 - Age
School Attended 2023 - 2024
Child #2 - Grade Completed
Does your child have any allergies, learning differences, disability or any other special needs of which we need to be aware?
Child #3 - Name
Child #3 - Date of Birth
MM
/
DD
/
YYYY
Child #3 - Age
School Attended 2023 - 2024
Child #3 - Grade Completed
Does your child have any allergies, learning differences, disability or any other special needs of which we need to be aware?
Photo Release Form
Please review the photo release form above. If you agree and accept, please select "Yes" below. If you do not agree, please select "No" below. By checking Yes or No, you understand that this will serve as your signature.  
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A copy of your responses will be emailed to the address you provided.
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