VBS 2023 Registration

FBC’s VBS program will take place July 18th through the 21st from 6pm-8pm. Children who have completed kindergarten through fifth grade are eligible to participate.

If you need to sign up multiple participants, please complete the form below for each child. You can refresh the page after you complete one registration to begin the next.

Registration Info

Child's Name

First Name

Last Name

Name Used

Grade Completed

Date of Birth

YYYY

Please list any siblings or guests who will also attend with this child.

Note- each child must be registered separately, so be sure to submit a separate form for each participant. Including them here is only to help our volunteers keep up with who comes together.

Allergies / Restrictions

Is your child allergic to any medications, foods, environmental, or other substances?

Yes

If yes, please list allergen(s):

Other Medical Considerations

Please include any other medical information we may need to know about your child below, like medical conditions, medications, name and number of primary care physician, etc.

Emergency Contacts

Please list yourself and others authorized to act on your behalf in the event of an emergency.

Please include each contact's name, relationship to the child, and phone number in the order we should call.

Authorization for sign-out & pick-up

To ensure the safety of your child, please list all adults to whom your child may be released:

Video and Still Photography Release

I hearby grant permission to First Baptist Church, the rights of the image, in video or still, of the child registered above, and of the likeness and sound of their voice as recorded on audio or video tape without payment or any other consideration. I understand that the image may be edited, copied, exhibited, published, or distributed and waive the right to royalties or other compensation arising or related to the use of the image or recording. I also understand that this material may be used in diverse settings with an unrestricted geographic area. By choosing "Yes" below, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for lawful purposes.

These pictures or videos may be used for promotional purposes on FBC's website, social media accounts, etc.

Yes

Parent/Guardian Signature (Enter Name)