JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FBC Pleasanton Vacation Bible School '22
Monday June 20th - Friday June 24th
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Gender
*
Male
Female
Birthdate
*
MM
/
DD
/
YYYY
Age as of June 20, 2022
*
Your answer
Grade COMPLETED as of June 2022
*
Pre K
Kinder
1st
2nd
3rd
4th
5th
Youth Helper
Parent/Guardian Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Cell Phone Number
Your answer
Work Phone Number
Your answer
Home Phone Number
Your answer
Which Phone number is best to call during VBS?
*
Cellphone
Work
Home
Medical Information including food allergies (please type none if there are no allergies)
Your answer
1st Emergency Contact Name
*
Your answer
1st Emergency Contact Phone Number
*
Your answer
2nd Emergency Contact Name
Your answer
2nd Emergency Contact Phone Number
Your answer
Who may pick up your child at the end of each VBS daily?
*
Your answer
Do you want the church minibus to pick your child up?
*
Yes
No
Do you want the church minibus to take your child home?
*
Yes
No
If you answered yes to bus pick up and/or drop off, please choose location below.
Jourdanton - St. Matthews Church
Poteet - Hosanna Baptist Church
Pleasanton - Home
Clear selection
Do you attend church? If so, where?
*
Your answer
If you are visiting our church, who are you a guest of?
Your answer
The church will take video clips and pictures through the week to include in a take home DVD.
*
I do wish to have my child included in the VBS video and pictures.
I DO NOT wish to have my child included in the VBS video and pictures.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
