FDWC VBS 2026 Student Registration Form
Event Day: July 22nd-24th, 2026 at 6 pm-8:15 pm; July 25, 2026 at 11 am 
Location: Burlington, New Jersey 08016
Event Address: 1304 Route 130 North
Contact us at  admin1304@fdwc.org or 609-239-8722
Sign in to Google to save your progress. Learn more
Email *
Name *
Age *

Home Address *
City *
Zip Code
Home Phone
Cell Phone *
Email address *
What days will you attend? *
Required
Dietary restrictions *
List any allergies or medical conditions
Parent or Guardian Name (put N/A if not applicable) *
Emergency Contact *
Parent or Guardian Work Phone Number
Photo Release: I hereby grant Faith Deliverance Worship Center permission to copyright and use photography/videos taken at VBS of the minor designated named children on this form in any manner of form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy that may be used in conjunction therewith, or the use to which it may be applied.  *
Medical Release: I give my permission for the VBS staff to administer basic first aid to me or my child (named above) in the even of a significant injury and all expenses for such emergency services will be paid by  you or the child's parent or guardian *
Name of Siblings Attending (put N/A if not applicable) *
Person Who Will Drop Off  (put N/A if not applicable) *
Person Who Will Pick Up  (put N/A if not applicable) *
Additional Comments
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms