Vacation Bible School
June 3rd - June 7th 9am-12pm
First Presbyterian Church 3601 Taft Blvd Wichita Falls, Texas 76308
Contact Beth 940-781-8141 beth@myfirstpres.org
Please complete 1 form per child
Email address *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
Address *
Your answer
Home Phone *
Your answer
Emergency Name/Phone *
Your answer
Photography and Video Release: I grant First Presbyterian Church the right to take photographs or videos of me/my family in connection with the above-identified event. I authorize First Presbyterian Church to copyright, use and publish the same in print and/or electronically. I agree that First Presbyterian Church may use such photographs and videos with or without names and for any lawful purpose, including for example such purposes and publicity, illustration, advertising, and Web content. *
Birthdate *
MM
/
DD
/
YYYY
Grade Completed *
Known Allergies or medical concerns: *
Your answer
My child would like to be in class with his/her friends: (please remember that every effort will be made to honor this request)
Your answer
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