VBS at First Baptist Church
Sunday, July 29 to Thursday, August 2
6:00-9:00pm
Children ages 4 years old to completed 5th grade are welcome to attend
3235 Linden Street
Bethlehem, PA 18017
610.865.4600
Contact childrensdirector@fbc-bethlehem.org with questions
Child's full name *
Your answer
Child's birthdate *
MM
/
DD
/
YYYY
Last grade completed *
Your answer
Please list any allergies/special needs your child has.
Your answer
Street address *
Your answer
City *
Your answer
Zip Code *
Your answer
Home phone number
Your answer
Cell/work phone number
Your answer
Parent/guardian's name *
Your answer
Parent/guardian's email address
Your answer
How did you hear about First Baptist's VBS? *
Emergency contact name *
Your answer
Emergency contact phone number *
Your answer
Emergency contact's relation to child *
Your answer
Waiver of responsibility: I/we release First Baptist Church of liability for any injury during VBS. I/we give permission for emergency medical treatment in case of injury.
Photography waiver: I/we give permission for my child to be in photographs taken during VBS 2015 by a First Baptist Church staff member or other authorized FBC affiliate. These pictures may be used in various FBC communications or publicity.
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