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VBS Registration
Please fill out all of the information below to register your child for our VBS program. If you have more than one child, please fill out 1 form per child. Our VBS program is for children who have finished Kindergarten - those who have just finished 6th grade. If you have any questions about VBS or this form, please contact us at info@fellowshipbible.us ,or you can call us at (830) 515-5960.
Child's Name *
First and last name.
Your answer
Gender *
Birthdate *
MM
/
DD
/
YYYY
Age: Please note that VBS is for those children who have finished Kindergarten through those who have just finished 6th grade. *
Please select the grade most recently completed by the student.
Address *
House number and street address
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Name of Parent/Guardian *
First and last
Your answer
Parent/Guardian Phone Number *
Cell phone number is preferable.
Your answer
Parent/Guardian Secondary Phone Number
Your answer
Parent/Guardian Email address *
Your answer
Emergency Contact Name *
Your answer
Contact's Relationship to the child *
Your answer
Emergency Contact's Phone number *
Your answer
Name of your home church *
A church you regularly attend. If you don't have one, please put "None".
Your answer
Does your child have food allergies?
Please note if it is a SEVERE allergy.
Your answer
Are there any medical concerns/conditions that we need to be aware of?
Please list any disabilities or concerns such as head injuries, diabetic, etc.
Your answer
Will you (the parent/guardian) always be the one picking up the child/ren? *
Please list the other person/s who may be picking up your child/ren. *
First and last names please, along with a contact number. Put "none" if there is no one else.
Your answer
Photo Release *
We may take photos of the children playing and use these photos for our website or Facebook page. Your child/ren may be in photos taken. Do you give Fellowship Bible Church permission to use photos/videos of your child/ren?
Medical Release *
I, the parent/guardian of the child named above, give permission to Vacation Bible School staff members at Fellowship Bible Church to seek medical treatment for my child if sick or injured, until a parent or guardian can be located. I give permission for first aid to be rendered if necessary or professional medical help. I hereby assume all responsibilities of any costs connected with such. I understand that clicking "I agree" below is equivalent to my hand-written, legal signature.
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