VBS 2024 Form by greggraceatworkweb.com | Mar 25, 2024 Register for our 2024 VBS! "*" indicates required fields Parent/Guardian Name* First Last Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child(ren) InformationHow many children would you like to register?*OneTwoThreeFourFiveSixSevenEightNineTenChild #1 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #2 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #3 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #4 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #5 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #6 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #7 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #8 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #9 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions Child #10 InformationName* First Last Age* Date of Birth* Grade for Fall 2024*N/AKindergartenFirstSecondThirdFourthFifthSixthGender*MaleFemaleAllergies/Medical Notes/Special Instructions ConsentsIf my child has a food allergy, I agree to send a snack for my child. YesI give permission for the above named child to be photographed during VBS, and for the images to be published, reproduced or distributed by Faith Baptist Church in all outlets, including, but not limited to, internet and church publications, without liability or limitation on my or my minor’s part.* YesNote: Due to the nature of childcare, it is important that parents prioritize being at church with their children. We have a wonderful program planned for teens through adults. I understand the above note.If you are unable to stay at church for the duration of VBS, please indicate here where you will be in case we need to get in contact with you. PhoneThis field is for validation purposes and should be left unchanged. Δ