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FCC 2019 VBS Registration
This form is to register children for VBS 2019: Journey to India, a VBS experience at First Christian Church of Arlington, TX July 8-10, 2019. This form registers and holds a spot for your child for VBS 2019. A $5 fee and signature on a parent/ guardian release form at drop off the first day is also required.
Email address *
What is the child's last name? *
Your answer
What is the child's first name? *
(Please use the name they go by/ would want on a name tag)
Your answer
Child's Birth Date
MM
/
DD
/
YYYY
Child's Age as of July 8th/ Completed Grade *
If 1st- 5th Grade Completed: Will your child be participating in the Noon to 3pm activities? (Note: Afternoon participants should bring a sack lunch each day. Snacks are provided on site, but not lunch.)
Mailing Address *
Your answer
Parent/ Guardian's Email Address *
Your answer
Parent/ Guardian Name and Phone #1 *
Your answer
Parent/ Guardian Name and Phone #2 (if applicable)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact relationship to child *
Your answer
Emergency Contact Phone *
Your answer
Names of those who can pick up your child: *
Your answer
If Applicable: Names of persons who you wish to note will never be authorized to pick up your child
(Children will only be released to the approved list, but if helpful list known safety risk person(s).)
Your answer
Allergies to common foods/ Allergies of severe reaction nature
(No need to list general hayfever, etc just those that need attention)
Your answer
Please type "Permission Not Given" in the blank below if FCC may not use your child's image in newsletter/ website)
(Group shots and scenes from VBS may still appear in the closing slideshows, etc.)
Your answer
Any other information that would aid us in providing the best experience for your child?
Your answer
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