FPC Napa VBS 2018 - Participant Registration
For children ages 4 years old to entering 5th grade
July 9 - 13 9 a.m. - 12 noon
Child First Name *
Your answer
Child Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Gender *
Age *
Your answer
Parent Name *
Your answer
Emergency Contact *
Your answer
Emergency Phone *
Your answer
email address *
Your answer
Grade Entering in Fall 2018 *
T-Shirt Size *
Allergies *
Your answer
Home Church *
Your answer
Consent to Treat- By listing my name below as parent or legal guardian, I hereby give permission, to the staff of First Presbyterian Church of Napa to secure emergency treatment for my child named above. *
Your answer
Photo Release - I understand that by registering for this VBS week, I have given consent for the child named above to be photographed and/or videotaped for use by First Presbyterian Church of Napa. *
Required
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