Sign me up for IN THE WILD VBS! June 17-20, 9am - 12pm
Email address *
Participant's First Name *
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Participant's Last Name *
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Gender
Grade Entering in the fall *
Name of friend your child would like to be with:
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Any Allergies? *
Required
IF you answered yes to above question, what ALLERGIES does your child have?
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Participant's Primary Address: *
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Parent/Guardian Name: *
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Parent/Guardian Phone Number *
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Alternate Name and Phone Number *
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By typing my name, I give permission for my child to participate in FECC sanctioned activities and give permission for leaders to take whatever steps necessary to obtain emergency medical care as warranted. I give permission for my child’s photograph to be used by FECC for the purpose of promoting children’s ministry and for the VBS recap video, understanding my child’s name will not be in print or included with photographs. *
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Names of people allowed to pick up your child: (other than parent)
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Additional comments:
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