FBC VBS Registration 2019
Held nightly July 15-19
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Address *
(Ex. 123 Easy St, Rural Hall, NC 27045)
Your answer
Child's Birthdate *
MM
/
DD
/
YYYY
Emergency Contact *
Your answer
Emergency Contact Number *
Your answer
Food, Drug, or Other Allergies
Your answer
Person(s) Authorized to Pickup Child *
Your answer
Grade Entering in August 2019 *
Special Instructions or Notes
Your answer
*
By signing this registration form, I give permission for my son/daughter to attend Vacation Bible School at Freedom Baptist Church. In the event of injury, I release Freedom Baptist Church from any claim. I give permission for the person in charge to seek medical services, if needed.
Required
*
Photos taken at this event of my child may be used on the church website and/or social media sites.
Required
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