Children VBS Registration
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Email *
Child's First Name: *
Child's Last Name: *
Date of Birth: *
MM
/
DD
/
YYYY
Grade your child will be going ingo for the 2023/2024 School Year: *
Parent/Guardian First Name *
Parent/Guardian Last Name: *
Parent/Guardian's Phone Number: *
(###) ###-####
Family Email:
Family Address *
City: *
State *
Emergency Contact Person and their relationship to your child. *
Emergency Contact Phone Number *
(###) ###-####
Allergies: *
Who will pick up your child? *
Relationship to your child? *
What church do you attend? *
If your child will be walking or riding a bike to and from VBS, please enter your initials.
I, hereby, give my consent for the above named participant to enter the First Baptist Church Vacation Bible School.  I also, hereby, give my consent for any emergency/medical treatment approved by his/her teacher or other adult in case of illness or injury while participating in VBS.  I understand this is to prevent undue delay and assure prompt treatment and that only a licensed physician will be engaged for such an emergency.  By entering your name you are legally agreeing to this statement.
Parent Signature *
A copy of your responses will be emailed to the address you provided.
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