FBC Counce VBS 2020 "BOLT"
July 13-15, 2020
Email address *
Parent/Guardian Name: *
Address: *
City: *
State: *
Zip: *
Phone: *
Child's First & Last Name (1): *
Birthdate (1): *
MM
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DD
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YYYY
Grade child is entering (1) *
Child's First & Last Name (2):
Birthdate (2):
MM
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DD
/
YYYY
Grade child is entering (2)
Child's First & Last Name (3):
Birthdate (3):
MM
/
DD
/
YYYY
Grade child is entering (3)
Child's First & Last Name (4):
Birthdate (4):
MM
/
DD
/
YYYY
Grade child is entering (4)
Child's First & Last Name (5):
Birthdate (5):
MM
/
DD
/
YYYY
Grade child is entering (5)
Do you attend church? If so, where? *
May we have permission to use your child's photograph in church's publications? *
Comments:
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