VBS@FBC 2017
Monday 3rd to Friday 7th July, 5.45-8.15pm daily
PLEASE NOTE: separate registration required for each child - please do not try to register multiple children on the same form. Thanks! :)
Last name of child
Your answer
First name of child
Your answer
Child's gender
Child's age on 1st July 2017 (ages 5-11 only)
Parent/guardian 1 - name
Your answer
Parent/guardian 1 - email address
Your answer
Parent/guardian 1 - phone number
Your answer
Parent/guardian 2 - name
Your answer
Parent/guardian 2 - email address
Your answer
Parent/guardian 2 - phone number
Your answer
Other emergency contact - name
Your answer
Other emergency contact - email address
Your answer
Other emergency contact - phone number
Your answer
Is there anyone else who may pick up your child on your behalf (other than the above contacts)?
Your answer
Which days will your child attend? (check all that apply)
Required
Dietary restrictions
Church attended
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