VBS is for children 3 years old by September 1, 2023 through 5th grade completed. ***PARENT'S PLEASE NOTE*** If you enter your child's DOB, AGE or GRADE incorrectly, your child may be placed on a wait list. VBS T-shirts and CD's must be ordered and paid for when you register.
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| Child's Last Name * |
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| Child's First Name * |
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| Street Address * |
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| City * |
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| State * |
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| Zip Code * |
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| Phone (including area code) * |
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| Date of Birth: 00/00/0000 * |
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| Child's Gender.* |
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Preschoolers: age as of September 1, 2023
Children: Last grade completed as of June 2024* |
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| Parent's Email: * |
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| Verify Email * |
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| Mother's Name (First and Last): * |
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Mother's Home Phone (including area code)
(If no home phone, type none) * |
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Mother's Cell Phone (including area code)
(If no cell phone, type none) * |
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Mother's Work Phone (including area code):
(If no work phone, type none) |
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| Mother's Email: (If no email, type none) * |
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| Father's Name (First and Last): * |
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Father's Home Phone (including area code):
(If no home phone, type none) * |
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Father's Cell Phone (including area code):
(If no cell phone, type none) * |
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Father's Work Phone (including area code):
(If no work phone, type none) |
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| Father's Email: (If no email, type none) * |
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| 1st Emergency Contact Name Other Than Parents (First and Last): * |
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| 1st Emergency Contact Number (including area code): * |
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| 2nd Emergency Contact Name Other Than Parents (First and Last): |
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| 2nd Emergency Contact Number (including area code): |
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| Do you go to church or Sunday School:* |
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| If so where: |
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| Does your child have any food allergies?* |
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List of allergies or N/A:* |
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List Medical or other information we need to know or list none:* |
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Who may pick up this child at the end of each VBS day - First and Last Name (must be 16 or older)?* |
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| I understand, as a VBS participant, my child may be photographed or videotaped during normal VBS activities. These photo/videos may be used in promotional materials or FCBC and related or affiliated ministries. Please check yes if you grant permission or no if you do not grant permission.* |
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| List your name here and by doing so you are stating that you are a parent or legal guardian of this child: * |
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VBS T-shirts are available for $10.00 each, please choose either no or the T-shirt size:
T-shirts must be paid for when ordering.
T-shirt order is non-refundable.* |
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VBS CD is available for $3.00:
CD's must be paid for when ordering.
CD order is non-refundable.* |
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