Child Information:
Child's Full Name
*
First Name
Last Name
Child's Age
*
4
5
6
7
8
9
10
11
12
13
Grade Completed
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Special Needs/Allergies:
*
Parent/Guardian Information:
Parent/Guardian:
*
First Name
Last Name
Parent/Guardian Phone Number:
*
-
Area Code
Phone Number
Parent/Guardian Email Address:
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact:
*
First Name
Last Name
Emergency Contact Phone Number:
*
-
Area Code
Phone Number
Pick-Up Requirements
Your child's safety is our priority.
List ALL who are authorized to pick-up child
*
Only those listed will be authorized. ID will be required at pick-up
Special pick-up instructions:
Media Release:
I grant permission for Friendship Baptist Church and One Mission Society (VBS creator) to use my child's image for promotional and publicity purpose.
*
Yes
No
Before you go...
Help us to create and host more fun community events by sharing your input.
Would you like to help us by answering three quick questions?
*
Yes
No
Maybe next time
How did you hear about Friendship Baptist's VBS program?
Personal invite
Church sign
Facebook ad
other
What type of programs/events would you like to see us plan next?
Movie Night
Community Picnic
Concert
Family-Fun Day
Would you like a personal invite the next time we plan an event?
Yes, please let me know!
No, I will check back on my own.
Submit
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