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FBC Williston VBS Registration
June 26- June 30
FREE for all students that have COMPLETED K-5 grade
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* Indicates required question
Children’s Names
*
Last Name, First Name - Press ENTER to add each additional child
Your answer
Parent/Guardian Name
*
Last Name, First Name
Your answer
Address
*
Street, City, State, Zip
Your answer
Mailing Address (if different)
Your answer
Home Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Work Phone Number
*
Your answer
Children’s Birthday
*
Your answer
Last grade completed in school for each child
*
Your answer
Medical Information
*
Medical or other information we need to know. (Please include any food allergies.)
Your answer
Emergency Contact 1 (Other than listed above)
*
Name and Phone Number
Your answer
Emergency Contact 2 (Other than listed above)
*
Name and Phone Number
Your answer
Dismissal Information - Who may pick up your child at the end of each VBS day?
*
Your answer
Other Information - If you attend church, what church?
*
Your answer
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Yes
No
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