VBS 2022 Registration To better serve your family, please provide the information requested below. Each child attending VBS will need a separate form completed with their information. Child's Name * First Name Last Name Child's Birthdate * MM DD YYYY Last Grade Completed in School * Parent/Guardian's Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Mailing Address (if different) Guardian's Phone Number * (###) ### #### Guardian's Email Emergency Contact * Other than guardian listed above. First Name Last Name Emergency Contact's Phone Number * (###) ### #### Medical Information. Please include any allergies, necessary medications, or accommodations needed. Who may pick up your child at the end of VBS each day? * Feel free to provide more than one name, if needed. Does your child attend Sunday School? If so, where? * I give permission for photographs of the child listed above to be used in publications of First Baptist Church of Burnettown (including the church website and social media.) I understand that these photos may be viewed by anyone but no identifying information will be displayed. * Yes, I give permission. No. Please do not photograph my child. If you child is visiting with us, are they a guest of another child? If so, who? Additional Information/Notes to VBS Leader Thank you!
