2022 Vacation Bible School Registration

Please fill out this form to sign up your child for the 2022 FBC Vacation Bible School

June 24, 25 and 26

Explorer's Name *

First

Last

Parent/Family/Guardian Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Home Phone

Cell Phone

Work Phone

Date of Birth

Age

Last School Grade Completed

Home Church (if any)

Friends of your child from this church

Special Needs/Allergies/Medical Information/Others;

Emergency Contacts *

First

Last

First

Last

Name(s)of person(s) who may pick up this child from VBS:

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Photo Release: By entering you name in the space below, you are consenting permission to the Church/VBS to use your child's photograph publicly in VBS materials. By typing your name you understand the images may be used in print publications, online publications, presentations, websites, and social media. You understand that no royalty, fee, or other compensation shall become payable to you by reason of such use,

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(for church use only)

Assigned to Explorer Group

Are family members helping with Discovery on Adventure Island?

If yes, where?

First Baptist Church

Where the Imperfect are Perfectly Welcome

2022 Vacation Bible School Registration

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(for church use only)