FBC Williston VBS Registration
June 27- July 1
FREE for all students that have COMPLETED K-5 grade
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Children’s Names *
Last Name, First Name - Press ENTER to add each additional child
Parent/Guardian Name *
Last Name, First Name
Address *
Street, City, State, Zip
Mailing Address (if different)
Home Phone Number *
Cell Phone Number *
Work Phone Number *
Children’s Birthday *
Last grade completed in school for each child *
Medical Information *
Medical or other information we need to know. (Please include any food allergies.)
Emergency Contact 1 (Other than listed above) *
Name and Phone Number
Emergency Contact 2 (Other than listed above) *
Name and Phone Number
Dismissal Information - Who may pick up your child at the end of each VBS day? *
Other Information - If you attend church, what church?   *
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
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