FBC Eastman VBS 2024 Registration:
Vacation Bible School
First Baptist Church, 5107 Oak Street, Eastman, GA 31023
June 3-7, 2024; 6:00pm-8:30pm
Children must be 4 years old by June 2, 2024 in order to attend unless the child's parent is working in the VBS.
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What is your child's First and Last Name: *
What grade will your child be entering fall of 2024?
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What is your child's age?
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What is your child's date of birth?
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What is your child's gender?
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Parent/Guardian First and Last Name
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What is your address?
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Parent/Guardian Contact Number
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Parent E-mail address
Emergency Contact First and Last Name
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Emergency Contact Number
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What is your relationship to the child?
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Does your child have any food allergies? If yes, please list.
Do your child have any medical concerns?  If yes, please list.
Do you have a home church?
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If you have a church, what is the name of it and where is it located?
Permission to attend: I give my permission for the child I am registering for VBS 2024 to attend Vacation Bible School at First Baptist Church, Eastman, Georgia, June 3-7, 2024.  Please write yes or no and initial.
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Medical Release:  I hereby give my permission for any and all medical attention necessary to be administered to my child in the event of an accident, injury, sickness, etc. while they are under the care of First Baptist Church, Eastman, Georgia, until such time as I can be contacted.  If I or my emergency contact cannot be reached, I give permission for the treatment of my child as determined by the appropriate medical care professional who is present at the event.  I hereby assume payment and responsibility of such treatment.  Please write yes or no and initial.
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Media Release Acknowledgment:  I understand that at an event of this nature my child's picture may be taken or a video recording made.  I give my permission for any picture or video taken of my child to be used for the promotional purposes of First Baptist Church, Eastman, Georgia.  Please write yes or no and initial.
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Would you be interested in receiving information about upcoming children's events?  If so, please check the way you would like to receive notifications.
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