FPC VBS 2023 Registration Form

FPC VBS 2023 Registration Form

"HERO HOTLINE" | July 31 – August 4, 2023 | 9AM-12PM
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Grade Entering in Sept. 2023
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
Home Church
Friends of your child at this church
Allergies or medical information that leaders should know
Emergency Contact 1

First NameLast Name
Area CodePhone Number
Emergency Contact 2

First NameLast Name
Area CodePhone 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 NameLast Name
Area CodePhone 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.

Clear
Registration Fee: $25.00

(Includes all supplies)
CashCheckElectronically
Submit CASH payment (in-person or mailed) to the Church Office:

300 36th St

Virginia Beach, VA 23451
Submit CHECK payment (in person or by mail -memo line "VBS 2023") to Church Office:

300 36th St

Virginia Beach, VA 23451
Submit ELECTRONIC payment by clicking HERE.

**If there are issues submitting payment electronically, you can provide payment information over the phone to our Assistant Treasurer, Ivy Robinson at (757) 428-6332.**
If you are having issues submitting payment (in any form), or have questions, contact our Assistant Treasurer, Ivy Robinson at (757) 428-6332
Should be Empty:

FPC VBS 2023 Registration Form

Registration Fee: $25.00