Vacation Bible School - August 11-15, 2025
First Baptist Church of Rowley, Massachusetts
Child's Name
*
First Name
Last Name
Child's Age
*
4
5
6
7
8
9
10
11
12
13
Child's Grade (Entering in Sept)
*
PK
K
1
2
3
4
5
6
7
Parent Name(s)
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Mailing Address
Street Address
Street Address Line 2
City
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State
Zip Code
2nd Child's Name
First Name
Last Name
2nd Child's Grade (Entering in Sept)
K
1
2
3
4
5
6
7
2nd Child's Age
4
5
6
7
8
9
10
11
12
13
3rd Child's Name
First Name
Last Name
3rd Child's Grade (Entering in Sept)
K
1
2
3
4
5
6
7
3rd Child's Age
4
5
6
7
8
9
10
11
12
13
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
-
Area Code
Phone Number
Allergies: (child's name, allergy, and required medication)
Any special needs or other information:
PERMISSION FORM
*
I give permission for my child/children listed above to attend Vacation Bible School at 1st Baptist Church, Rowley, MA. during the week of August 11 - 15, 2025.
In the unlikely event of an emergency, I give permission for my child/children to be treated by an accredited physician or emergency medical technician. (You will receive a call immediately if there is an emergency.) I understand a Registered Nurse will be on the staff.
I also give permission for my child to be photographed for craft purposes and for our closing program slide show.
Signature
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