VBS 2017 Registration Form
June 25-29 | 6-8pm | Ages 4 through completed 5th grade.

PLEASE NOTE THE FOLLOWING: Fill out this form as completely as possible. Failure to do so could prevent your child from participating in VBS. All children must be 4 years old by June 20 and fully potty trained to participate. No pull-ups.

If you have any questions or concerns, please email us at fabcchildren@gmail.com.

Child's Information
Name of Child
Your answer
Gender
Grade Level Completed
Child's Birthday
MM
/
DD
/
YYYY
Your information
Your Name
Your answer
Relationship to Child
Email Address
Your answer
Phone Number
Your answer
Alt Phone Number (optional)
Your answer
Home Address (street, city, state, zip)
Your answer
Name of Parent's / Legal Guardians
Your answer
Name of Emergency Contact
Your answer
Emergency Contact Number
Your answer
Home Church
Additional Information
Please list any food or medicine allergies and anything else we should know about your child.
Your answer
Liability Release Statement
I certify that I am the parent or legal guardian of the aforementioned child.

I hereby release and agree to hold harmless Friendly Avenue Baptist Church and the representatives thereof from any and all liability, claims, and demands for injury which may be incurred by my child in the course of participation in Vacation Bible School (VBS) the week of June 25-29, 2017.

I give authorization for Friendly Avenue Baptist Staff Members to provide transportation and obtain medical treatment in the event that we cannot contact the parents or emergency contact.

Your Agreement
Required
Permission Agreement
I agree for my child’s picture to be taken and used for a PowerPoint presentation at the closing on Friday night.

These pictures will not be used on the internet or social media.

Your Agreement
Required
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