2017 FRPC Vacation Bible School Registration
Welcome to the online registration for Vacation Bible School (VBS) at First Reformed Presbyterian Church in Penn Hills. VBS will take place on June 19 - 23 from 9:00am to noon. Kids from Pre-K through 5th grade will enjoy games, snacks, skits, stories, singing and a Bible Lesson. If you have any questions about VBS, the church or this form, please contact our office at (412) 793-7117 or email office@frpc.org.
Parent or Guardian's Name
Your answer
Street Address
Your answer
Apartment Number
Your answer
City, State
Your answer
Zip Code
Your answer
Parent or Guardian Phone
Your answer
Parent or Guardian Email
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Child One's Name
You may have multiple children signing up, please name each student individually.
Your answer
Child One's Age
Please select the box for which grade your child has just completed or what age they are for Pre K children
Required
Child One's Allergies
Please list any and all allergies or food sensitivities for Child One
Your answer
Child Two's Name
You may have multiple children signing up, please name each student individually.
Your answer
Child Two's Age
Please select the box for which grade your child has just completed or what age they are for Pre K children
Child Two's Allergies
Please list any and all allergies or food sensitivities for Child Two
Your answer
Child Three's Name
You may have multiple children signing up, please name each student individually.
Your answer
Child Three's Age
Please select the box for which grade your child has just completed or what age they are for Pre K children
Child Three's Allergies
Please list any and all allergies or food sensitivities for Child Three
Your answer
Chid Four's Name
You may have multiple children signing up, please name each student individually.
Your answer
Child Four's Age
Please select the box for which grade your child has just completed or what age they are for Pre K children
Child Four's Allergies
Please list any and all allergies or food sensitivities for Child Three
Your answer
Are there any medical concerns for any of the children on this form?
Please list any medical information that we should be aware of for each child.
Your answer
Do any of the children on this form have any siblings, cousins or friends attending VBS that are not already listed on this form?
Please list their names and relation below.
Your answer
Does First Reformed Presbyterian Church have your permission to photograph your child/children for promotional purposes only?
You are welcome to select "No" and still participate fully!
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