FBC 2017 VBS (July 17-21st 6-8:30pm)
Multiple children can be entered into this form
Child Name: (Multiple children can be listed) *
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Parent(s) Name *
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Street Address *
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City, State, Zip *
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Phone *
xxx-xxx-xxxx
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Child(ren's) age *
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Most recent grade completed *
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Do you attend a church regularly? *
There is an optional t-shirt available for $10. If you want a shirt for your child, enter size and number of shirts below. (S, M, L, XL)
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Additional Information: Allergies, special needs, etc.
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