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 Please enable JavaScript in your browser to complete this form.Explorer's Name *FirstLastParent/Family/Guardian Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Home PhoneCell PhoneWork PhoneDate of BirthAgeLast School Grade CompletedHome Church (if any)Friends of your child from this churchSpecial Needs/Allergies/Medical Information/Others;Emergency Contacts *FirstLastFirstLastName(s)of person(s) who may pick up this child from VBS:___________________________________________________________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,___________________________________________________________(for church use only)Assigned to Explorer GroupAre family members helping with Discovery on Adventure Island?YesNoIf yes, where?Submit