First Baptist Church - VBS Registration

VBS Registration Form

Please Complete the Following Information. You may download the Pre-Registration Letter from our VBS page on our website. If your child is attending VBS from Day Care please be sure to complete the Bus Riding Permission Form that can be downloaded from the VBS website.

Child's Name:
*
Child's Age:
*
Child's Date of Birth:
*
Age Group Entering in the Fall:

Address:
*
City:
*
State:
*
Zip Code:
*
Email Address:
Emergency Contact Information (Name & Phone):
*
Any Special Health Problems or Allergies:
*
Is Child Enrolled in Sunday School:
Church Child Attends Sunday School:
Is Child a Member of a Church:
Name of Church Child Attends:
Mothers Name:
*
Does Mother Attend Sunday School:
Name of Church Mother Attends Sunday School:
Is Mother a Member of a Church:
Name of Church Mother Attends:
Father's Name:
*
Does Father Attend Sunday School:
Name of Church Father Attends Sunday School:
Is Father a Member of a Church:
Name of Church Father Attends:
Please Select Day Care Your Child is In if Applicable:

Does Your Child Need to Be Picked Up at Day Care Each Day?:
Security code:
*
Do not enter anything in this field:

* indicates a required field