VBS REGISTRATION FORM
First Baptist Church Archer City
Child's Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(street address, city, state, and zip code)
Contact Information
Home
Format: (000) 000-0000.
Work
Format: (000) 000-0000.
Cell
*
Format: (000) 000-0000.
Email
*
example@example.com
Age Information
Birth date
*
-
Month
-
Day
Year
Date
Last grade completed in school
*
Medical Information
Medical or other information we need to know. (Please Include any food allergies.)
*
Emergency Contacts (other than listed above)
Names & Phone numbers
*
Dismissal Information
Who may pick up your child at the end of each VBS day?
*
Other Information
Does your child attend church? If so, where?
*
If your child is visiting our church, who is he a guest of?
*
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Yes
No
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Registration Form • Administrative Guide Printable • VBS 2024
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