VBS Registration Form

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VBS Registration Form - June 23-27 630-845pm

*Please submit one form per child please. Thank you!

* Indicates required field

Name of Child *

First

Last

Birth Date *

Age/Grade (going into) at the time of VBS June 26-July1 *

2-3yrs age 4-Kindergarten 1st - 2nd 3rd- 4th 5th - 6th 7th grade or older

Mother / Guardian Name *

First

Last

Father / Guardian Name *

First

Last

Contact Phone Number #1 *

Contact Phone Number #2 *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Is there a certain friend you want to be with: *

In Case of Emergency Contact: *

First

Last

Emergency Contact Phone Number *

Allergies - *Please note: Kids with allergies will have a ♥ marked on their hand to help be more easily recognized by all volunteers in case of emergency. *

*Please note: Kids with allergies will have a ♥ marked on their hand to help be more easily recognized by all volunteers in case of emergency.

I hereby give permission for Flat Creek Baptist Church to photograph/video my child to use on their website and/or Facebook for informational or promotional purposes. *

Yes No

My child will need transportation *

Pick up only Drop off only Both None

By checking this box and typing my name below, I am electronically signing this form. *

Name *

First

Last

Submit

Whatever it takes for Christ!

Flat Creek Baptist Church
21 Flat Creek Church Rd
Weaverville NC 28787

Home
welcome
About Us
Ministries
Calendar
THRIVE Bible Camp
Give
Prayer Wall

VBS Registration Form - June 23-27 630-845pm

﻿Whatever it takes for Christ!﻿﻿

﻿﻿﻿Church | 828.778.0909Food Pantry | 828-768-9547@2014 Flat Creek Baptist ChurchAll Rights Reserved﻿﻿﻿

Whatever it takes for Christ!

Church | 828.778.0909
Food Pantry | 828-768-9547
@2014 Flat Creek Baptist Church
All Rights Reserved