First Baptist Church Blue Ridge VBS 2026 Registration
Parent Information:
Parent's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ok to Text?
*
Yes
No
Email
*
example@example.com
Emergency Contacts: (other than yourself)
Emergency Contact 1
*
First Name
Last Name
Emergency Contact 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact 2
*
First Name
Last Name
Emergency Contact 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who besides yourself may pick up your child/children at the end of VBS? Please provide first and last name.
*
Other Information:
Do you attend church regularly?
*
Yes
No
Where do you attend church?
*
Do we have permission to photograph your child for our slide show at the end of the week?
*
Yes
No
Do we have permission to photograph your child for our website?
*
Yes
No
Do we have permission to photograph your child for the News Observer?
*
Yes
No
Children Attending VBS
Child 1
*
First Name
Last Name
*
Male
Female
Birthdate Child 1
*
-
Month
-
Day
Year
Date
Grade COMPLETED Child 1
*
Please list any allergies or medical concerns for Child 1.
*
Do you have another child to register?
*
Yes
No
Child 2
*
First Name
Last Name
*
Male
Female
Birthdate Child 2
*
-
Month
-
Day
Year
Date
Grade COMPLETED Child 2
*
Please list any allergies or medical concerns for Child 2.
*
Do you have another child to register?
*
Yes
No
Child 3
*
First Name
Last Name
*
Male
Female
Birthdate of Child 3
*
-
Month
-
Day
Year
Date
Grade COMPLETED Child 3
*
Please list any allergies or medical concerns for Child 3.
*
Do you have another child to register?
*
Yes
No
Child 4
*
First Name
Last Name
*
Male
Female
Birthdate Child 4
*
-
Month
-
Day
Year
Date
Grade COMPLETED Child 4
*
Please list any allergies or medical concerns for Child 4.
*
Do you have another child to register?
*
Yes
No
Child 5
*
First Name
Last Name
*
Male
Female
Birthdate Child 5
*
-
Month
-
Day
Year
Date
Grade COMPLETED Child 5
*
Please list any allergies or medical concerns for Child 5.
*
Submit
Should be Empty: