2017 VBS & Kids Summer Camps Registration
Welcome to First Baptist Shreveport's VBS & Kids Summer Camp Registration!

Please read and fill out the following form in full.

Our goal is to provide a fun, safe, Christ-centered time for your child to grow and make life long memories.

 All kids are welcome at our Summer Camps.

Please fill out the registration form in its entirety. ONE registration form PER CHILD.

No Email Confirmation:
You will NOT receive a confirmation email saying your child is registered. BY CLICKING SUBMIT, YOUR CHILD IS REGISTERED. Please do not register your child more than once. If you are concerned the registration did not go through, please email Meredith Hanna at meredith@fbcshreveport.org

Payments:
We are receiving cash, check and credit card (in person) payments for Summer Camps. A payment table will be located at each camp and you may pay for camps in full OR one camp at a time. Checks may be written to "First Baptist Shreveport" with the campers name and camp in the memo line. If you would like to mail a cash or check payment, you may mail the payment to:
FBC Children's Ministry: Summer Camps
543 Ockley Drive
Shreveport, LA 71106

For more information on VBS & Summer Camps, please see the information booklet located on the front page of the Church Website fbcshreveport.org.

For questions, please contact the Children's Ministry at 318-841-8432.

Child's Name
First & Last Name
Your answer
Age (as of June 1, 2017) or Grade Completed (as of Spring 2017)
Required
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Gender
Allergy Needs
Please include food and outdoor allergies. A snack & outdoor activity list will be provided the week prior to camp. Children with allergy and medical needs will wear a red, waterproof wristband, provided by the church, for the duration of the camp. Thank you for understanding our desire to provide a safe environment for your child.
Your answer
Medical Needs
Please include inhalers, EpiPens, etc. Children with allergy and medical needs will wear a red, waterproof wrist band, provided by the church, for the duration of the camp. Thank you for understanding our desire to provide a safe environment for your child.
Your answer
Child's Primary Mailing Address
For example: 543 Ockley Drive, Shreveport, LA 71106
Your answer
Primary Parent's/Guardian's Name
Your answer
Primary Parent's/Guardian's Email Address
This email address is important. You will receive important notices about camp(s) the week prior.
Your answer
Primary Parent's/Guardian's Phone Number
Please ALWAYS include your Area Code. 555-555-5555
Your answer
Secondary Parent's/Guardian's Name
Your answer
Secondary Parent's/Guardian's Email Address
This email will also receive important camp information.
Your answer
Secondary Parent's/Guardian's Phone Number
Please ALWAYS include your Area Code. 555-555-5555
Your answer
Emergency Contacts
Please list a minimum of TWO (2) Emergency Contacts with their First and Last Name and Best Phone Number (include area code). Emergency contacts are people we will contact if we cannot reach you in the event of an emergency.
Your answer
Alternate Pick-Up
Please list Alternate Pick-Ups First and Last Name and Best Phone Number (include area code). Alternate Pick-Ups are people who will be picking up your child, who are not listed as the Primary and Secondary Parent(s)/Guardian(s). NOTE: Anyone who picks up your child must present a digital or hard copy "claim check" which will be sent in an email to you before your child's camp(s) begins.
Your answer
My Child's Friend
We want camp to be an enjoyable experience! Sometimes, it is difficult not knowing anyone at camp. Please write in ONE (1) friend your child would like to be placed with at camp. We will do our best to honor your request! Please note: Children must be in the same age group/grade completed OR no more than 1 year apart in age.
Your answer
How did you hear about Summer Camps at First Baptist Shreveport?
Your answer
Do you regularly attend church?
Would you like a Quarterly Event Information Email?
Would you like more information on First Baptist Shreveport?
Permission for Photograph Use
I give my permission for my child to be photographed at First Baptist Church of Shreveport or any of its activities and/or events, including Vacation Bible School and camps. The photographs become the property of First Baptist Church of Shreveport and could be used in a variety of ways, including social media and advertising, such as, Facebook, website, newspapers, magazines, billboards, and other forms of communication and advertising. Please note: If you select disagree, children without agreement "Permission to Use Photograph" will wear a yellow or blue, waterproof wrist band, provided by the church, for the duration of the camp. Thank you for understanding our desire to fulfill your concern regarding your child being photographed.
Medical Consent
In the event I cannot be reached to make arrangements for emergency medical attention, I consent to the provision of any emergency medical care which an attending physician deems to be necessary for the health of my child. I understand that any and all medical expenses incurred are my responsibility and that there is no medical insurance coverage provided by First Baptist Church. The undersigned, heirs and assignees agree to refrain from holding First Baptist Church, its employees and agents responsible for any injuries incurred while attending this event. I hereby give my consent to allow staff and volunteers to administer certain over the counter medications (aspirin, Peptobismol, Tylenol, etc.)
Vacation Bible School (VBS) "Emotions!"
4 year olds - Completed 5th grade / June 12 - 16 / 9 am - 12 pm / Cost: Free
American Girl Camp
Kindergarten Completed - 5th grade Completed / June 26 - 30 / 9 am - 12 pm / Cost: $40
Summer Music at Church
Kindergarten Completed - 5th grade Completed / July 10 - 14 / 9 am - 12 pm / Cost: $40
Preteen Camp @ Clara Springs "Marvel"
3rd Grade Completed - 5th Grade Completed / July 17 - 21 / Overnight-Sleep Away Camp / Cost: $225
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