2022 Altus VBS/Foster Parent Registration

2022 Altus VBS/Parent Training Registration

Martha Road Baptist Church Altus, OK July 10 - July 15, 2022 6:00 pm - 9:00 pm
Name *

First Name Last Name
Attending the Training? *

Yes No
Spouse's Name *

First Name Last Name
Attending the Training? *

Yes No
Address *

Street Address

Street Address Line 2

City State

Postal / Zip Code
County *
CELL Number *

Area Code Phone Number
HOME Number

Area Code Phone Number
Email Address *

Confirmation Email
Additional Email Address

Confirmation Email example@example.com
Are you a member of a church? *
Church Membership *
(Name of Church and City/Town)
Are you active foster parents? *

Yes No
What agency are you certified through? *
Agency Worker's Name: *
Why do you wish to attend the training? *
Sessions attending: *

Sunday, 7/10/22 Self-Care Monday, 7/11/22 Trauma Informed Care Tuesday, 7/12/22 Managing Aggressive Behavior Wednesday, 7/13/22 Mental Health & Compassion Fatigue Thursday, 6/30/22 Let's Get Real - A Discussion About How Being a Foster Family Affects Us Individually and as a Family Friday, 7/1/22 FAMILY NIGHT
How many children currently reside in your home? (biological, adopted, foster, kinship, etc. *
Tell us about the children who will be accompanying you:

Classes provided for children birth through completed 5th grade

We are not equipped to provide classes for medically fragile/speical needs children

Please register all children in your home under your FOSTER FAMILY NAME.
Total Number of Children You Will be Registering *
(*including biological and foster children)

To Register Children Attending

Add CHILD #1
Child #1 Name *

First Name Last Name (FOSTER FAMILY NAME)
Child #1 Date of Birth *

Month Day Year
Child #1 Grade *
Please enter LAST school grade completed.
Child #1 Helpful Information *
(IE food allergies, preferred language, limitations)

Add CHILD #2
Child #2 Name *

First Name Last Name (FOSTER FAMILY NAME)
Child #2 Date of Birth *

Month Day Year
Child #2 Grade *
Please enter LAST school grade completed.
Child #2 Helpful Information *
(IE food allergies, preferred language, limitations)

Add CHILD #3
Child #3 Name *

First Name Last Name (FOSTER FAMILY NAME)
Child #3 Date of Birth *

Month Day Year
Child #3 Grade *
Please enter LAST school grade completed.
Child #3 Helpful Information *
(IE food allergies, preferred language, limitations)

Add CHILD #4
Child #4 Name *

First Name Last Name (FOSTER FAMILY NAME)
Child #4 Date of Birth *

Month Day Year
Child #4 Grade *
Please enter LAST school grade completed.
Child #4 Helpful Information *
(IE food allergies, preferred language, limitations)

Add CHILD #5
Child #5 Name *

First Name Last Name (FOSTER FAMILY NAME)
Child #5 Date of Birth *

Month Day Year
Child #5 Grade *
Please enter LAST school grade completed.
Child #5 Helpful Information *
(IE food allergies, preferred language, limitations)

Add CHILD #6
Child #6 Name *

First Name Last Name (FOSTER FAMILY NAME)
Child #6 Date of Birth *

Month Day Year
Child #6 Grade *
Please enter LAST school grade completed.
Child #6 Helpful Information *
(IE food allergies, preferred language, limitations)

Finish and Submit Form
Please indicate how you learned about this training: (mark all that apply) *

Licensing Agency Friend Social Media OBHC Website Local School System DHS Host Church
Form Agreement: *

By registering for this event I agree to submit this information to One Such Child of Oklahoma Baptist Homes for Children and the event host church.
Should be Empty:

2022 Altus VBS/Parent Training Registration