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FBC Meadville VBS Registration Form 2021
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* Indicates required question
Child's Name
*
Your answer
Parent/Guardian's Name
*
Your answer
Address (Street Address, city, state, and zip code)
*
Your answer
Mailing Address (if different)
Your answer
Contact Information (Home #)
*
Your answer
Contact Information (Work #)
*
Your answer
Contact Information (Cell #)
*
Your answer
Age information (Child's birthdate)
*
Your answer
Age information (last grade the child completed in school)
*
Your answer
Parent/Guardian Contact Information (Email address)
*
Your answer
Medical Information (Medical or other information we need to know. Please include any food allergies)
*
Your answer
Emergency Contacts (other than listed above...names and phone numbers)
*
Your answer
If you would rather not repeat this form to register other household children for VBS, please be specific with names, medical information, birthdates, grades, and other information for other household children.
Your answer
Dismissal Information (Who may pick up your child at the end of each VBS day?)
*
Your answer
Other information (Does your child attend Sunday School? If so, where?)
Your answer
Other information (If your child is visiting our church, who is your child a guest of?)
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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