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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
Connections
Home
welcome
Follow Jesus
Believer's Baptism
Serve
Church Membership
About Us
Security
Service Times
About Pastor Brian
Core Values
History of FCBC
Ministries
Creek Kids
Youth
Music & Worship
Care Team
Area Missions
Food Pantry
Sonshine Club
Camp THRIVE
VBS
Events / Outreach
Resources
Gallery
Sermon Media
Give
