FBT Vacation Bible School Registration
JUNE 17–21 at Fairfax Baptist Temple | for ages 4–11 (up to 4th grade) | 9:00 a.m.–12:00 p.m. each day
PARENT INFORMATION
Parent Name *
Your answer
Parent Email *
Your answer
Mailing Address *
Your answer
CHILD(REN) INFORMATION
Child 1 First Name *
Your answer
Child 1 Last Name *
Your answer
Child 1 Age *
Your answer
Child 1 Grade Entering in Fall *
Child 1 allergies (if applicable)
Your answer
Child 2 First Name
Your answer
Child 2 Last Name
Your answer
Child 2 Age
Your answer
Child 2 Grade Entering in Fall
Child 2 allergies (if applicable)
Your answer
Child 3 First Name
Your answer
Child 3 Last Name
Your answer
Child 3 Age
Your answer
Child 3 Grade Entering in Fall
Child 3 allergies (if applicable)
Your answer
Child 4 First Name
Your answer
Child 4 Last Name
Your answer
Child 4 Age
Your answer
Child 4 Grade Entering in Fall
Child 4 allergies (if applicable)
Your answer
OTHER INFORMATION
Church you attend
Your answer
How did you hear about our VBS?
Your answer
Additional information we should know—
Your answer
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