Address (Street Address, city, state, and zip code) *
Your answer
Mailing Address (if different)
Your answer
Contact Information (Home #) *
Your answer
Contact Information (Work #) *
Your answer
Contact Information (Cell #) *
Your answer
Age information (Child's birthdate) *
Your answer
Age information (last grade the child completed in school) *
Your answer
Parent/Guardian Contact Information (Email address) *
Your answer
Medical Information (Medical or other information we need to know. Please include any food allergies with detailed info for EACH child being registered) *
Your answer
I give my child permission to walk to and from the park with responsible Meadville First Baptist VBS helpers. *
Emergency Contacts (other than listed above...names and phone numbers) *
Your answer
Dismissal Information (Who may pick up your child at the end of each VBS day?) *
Your answer
Other information (Does your child attend Sunday School? If so, where?)
Your answer
Other information (If your child is visiting our church, who is your child a guest of?)
Your answer
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *