FMC VBS Registration Form BOLT 2026
Please fill out this form to register your child for the Vacation Bible School.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child 1 Full Name
First Name
Last Name
Child 1 Birthdate
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2021
2020
2019
2018
2017
2016
2015
2014
2013
Year
Child 1 Grade Completed
Please Select
prek-4
Kinder
1st
3rd
4th
5th
6th
T-Shirt Size
Please Select
Y-XS
Y-S
Y-M
Y-L
Y-XL
A-S
A-M
A-L
A-XL
A-2Xl
A-3XL
A-4XL
Child 2 Full Name
First Name
Last Name
Child 2 Birthdate
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
0
01
011
0111
01111
Year
Child 2 Grade Completed
Please Select
prek-4
Kinder
1st
3rd
4th
5th
6th
T-Shirt Size
Please Select
Y-XS
Y-S
Y-M
Y-L
Y-XL
A-S
A-M
A-L
A-XL
A-2Xl
A-3XL
A-4XL
Child 3 Full Name
First Name
Last Name
Child 3 Birthdate
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
0
01
011
0111
01111
Year
Child 3 Grade Completed
Please Select
prek-4
Kinder
1st
3rd
4th
5th
6th
T-Shirt Size
Please Select
Y-XS
Y-S
Y-M
Y-L
Y-XL
A-S
A-M
A-L
A-XL
A-2Xl
A-3XL
A-4XL
Child 4 Full Name
First Name
Last Name
Child 4 Birthdate
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
0
01
011
0111
01111
Year
Child 4 Grade Completed
Please Select
prek-4
Kinder
1st
3rd
4th
5th
6th
T-Shirt Size
Please Select
Y-XS
Y-S
Y-M
Y-L
Y-XL
A-S
A-M
A-L
A-XL
A-2Xl
A-3XL
A-4XL
Child 5 Full Name
First Name
Last Name
Child 5 Birthdate
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
0
01
011
0111
01111
Year
Child 5 Grade Completed
Please Select
prek-4
Kinder
1st
3rd
4th
5th
6th
T-Shirt Size
Please Select
Y-XS
Y-S
Y-M
Y-L
Y-XL
A-S
A-M
A-L
A-XL
A-2Xl
A-3XL
A-4XL
Allergies or Medical Information (if any)
Register
Should be Empty: