VBS Registration
June 22-26 •  9 AM - Noon
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Grade Last Completed *
Age *
Your answer
Parent's Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Address *
Your answer
City *
Your answer
In Case of Emergency (Name & Number) *
Your answer
Do you attend FBC
May We Photograph your Child? *
May we use your child's photo in church publications? *
T-shirt (optional) $8 (pay on arrival)
Allergies, Medicines, Special Needs?
Your answer
A copy of your responses will be emailed to the address you provided.
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