VBS Registration 2018 - First Baptist Church
Please use one form entry per child attending. Paper forms will also be available at the welcome center at church.
Child's Full Name
Your answer
Age
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Last School Grade Completed
Parent/Caregiver Name(s)
Your answer
The above person(s) is (are) authorized to pick the child up from VBS.
Address
Please enter the address for the child's residence.
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone If Appropriate
Your answer
Parent/Caregiver Cell Phone
Your answer
Home email address
Your answer
Home Church
Name of Pastor or Other Church Leader
Your answer
Allergies or other medical conditions
Your answer
Emergency Contact Person (other than above)
Your answer
Is (Are) the above person(s) authorized to pick the child up from VBS?
Emergency Contact Phone Number
Your answer
Emergency Contact Relationship to Child
If your child is a guest, may we ask who invited them?
Just so we can keep track of how invites are going!
Your answer
May we have permission to photograph your child and use said photos for the purpose of promotion? (Group phots containing more than 4 children may be used without permission - no identifiers will accompany the group photos.)
Other information you may deem appropriate.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.