Application form for VBS at the First Presbyterian Church of Pooler, GA
If you would like your child to attend VBS at First Presbyterian Church of Pooler (June 4-8, 2018), please complete the Application form below by April 30, 2018.
Child Information
What is your child's name? *
Please provide their first and last name.
Your answer
What grade will your child be entering in the 2018-2019 school year? *
What is your child's date of birth? *
Please format as Month/Day/Year
Your answer
Are there any special concerns regarding your child that we should be aware of (allergies, etc.)? *
Your answer
Has your child attended VBS at First Presbyterian Church of Pooler before?
Family Information
Please provide the name(s) of the child's parent(s) or guardian(s). *
Your answer
Does your family belong to or regularly attend a local church? *
Please provide the name of the local church your family belongs to or regularly attends (if applicable).
Your answer
How did you hear about VBS at First Presbyterian Church?
Contact Information
Street Address *
Your answer
City, State, and Zip Code *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Primary E-mail Address *
Your answer
Secondary E-mail Address
Your answer
Alternate Emergency Contact Name
Your answer
Alternate Emergency Contact Phone Number
Your answer
May we take photographs of your child during this event for them to use in their craft projects, and for our possible use in assembly slideshows, our promotional materials, and our websites? *
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