Vacation Bible School - August 10-14, 2026
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
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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 10 - 14, 2026.
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
Submit
Should be Empty: