FPC VBS 2022 Registration Form
"Food Truck Party- "On A Roll" with God" | Aug. 1 – 5, 2022 | 9am-12pm
Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Grade Entering in Sept. 2022
Parent Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Home Number
-
Area Code
Phone Number
Cell Number
-
Area Code
Phone Number
Home Church
Friends of your child at this church
Allergies or medical information that leaders should know
Emergency Contact 1
First Name
Last Name
-
Area Code
Phone Number
Emergency Contact 2
First Name
Last Name
-
Area Code
Phone Number
Dismissal Information: Please provide the names of person(s) who may pick up this child from VBS
I am a willing volunteer, please contact me:
First Name
Last Name
-
Area Code
Phone Number
Child care is available for VBS volunteers from 8:30am – 12:30pm Please provide names and ages of children needing child care:
Photo Release: First Presbyterian Church has my permission to use my child’s photograph publicly in VBS material. I understand images (not names) may be used in print, Church online publications, face book page, presentations in VBS and Worship service.
Registration is $25.00, this fee includes all supplies.
Payments are being received via check by mail or if you would like to pay electronically you will need to sign in to your Realm account or provide information over the phone to our Assistant Treasure, Ivy Robinson (757) 428-6332.
Submit
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