2018 VBS Registration
First Baptist Church of Marshville Online Registration for Vacation Bible School
Online Registration
Child's Name: *
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Grade Completed: *
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Birth Day *
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Age: *
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Parents' Names: *
Your answer
Address: *
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City: *
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State: *
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Zip: *
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Phone: *
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Alternate Phone:
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Emergency Contact Person: *
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Relation to Student: *
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Emergency Contact Phone: *
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Food Allergies: *
If "Yes" please list food allergies:
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Medical Issues / Concerns:
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Family Doctor:
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Doctor's Phone:
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Siblings attending VBS: *
If "Yes" please list siblings names:
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Church Affiliation: *
What church are you a member of:
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People who may pick up my child from VBS: *
Your answer
I need transportation to VBS *
Transportation Agreement: I, the undersigned, give my consent for the person identified above to be transported by First Baptist Church of Marshville, NC and will assume all liability for my/their participation in this activity/event and any injury that may result during the transport or at the event/activity. Further, by signing below: 1. I will not hold First Baptist Church of Marshville, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of such activities or such travel. 2. I hereby accept financial responsibility for personal items lost by the person identified herein. 3. I authorize First Baptist Church of Marshville to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of the transportation and/or treatment by medical personnel or facility. 4. I accept full responsibility and hereby grant permission for my minor child to travel
Parent / Guardians Name giving Consent to Transportation Waiver:
Your answer
By clicking yes below I verify that all of the above mention information is correct. I also give permission for First Baptist Church of Marshville to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program or promotional purposes of our church. *
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