VBS registration

Use this convenient form to register your child for Vacation Bible School! (Use one form per child)

* Required Fields

*Child's Name (first and last):
*Child's Age:
*Child's Grade:
Last school grade completed?
*Parent(s)/Guardian Name(s):
Parent email:
*Parent(s)/Guardian Phone # (xxx-xxx-xxxx):
*Emergency contact name:
*Emergency contact phone # (xxx-xxx-xxxx):
*Child street address:
*Child city/state/zip:
Church currently attending (if any):
Allergies (if any):
Medication(s) we should know about:
Medical conditions or other info we need to know:
Please contact me, I have other info and/or questions:
By clicking the "SEND" button, you grant permission for First Baptist Church, Wellsboro to publish photos, videos, or voice recordings of your child taken in relationship to the activities of this children's ministry for promotional and/or informational purposes only.
After you hit "SEND" you should receive a confirmation email at the email address you've given on this form.
*Authentication:
*9 + 4 =	Enter the correct answer to the math question.
Please click the Send button only once.