VacationBibleSchool - First Baptist Church of Wellsboro

First Baptist Church of Wellsboro

P.O. Box 815, 25 Central Ave., Wellsboro, PA 16901 (570) 724-4681

On-line registration form

Child's Name:
Child's Age:
Grade (also indicate "current" or "completed"):
Parent/Guardian:
Address:
City/State/Zip:
Phone:
Cell Phone:
Parent/Guardian Email:
Church currently attending (if any):
How did you hear about us?

Allergies:
Medication(s) presently on:
Medical conditions/Other info:
Emergency Contact Name and #:

	Please contact me, I'd like more information.

By clicking the submit button, you grant permission for First Baptist Church, Wellsboro to publish photos, videos, or voice recordings of your child(ren) taken in relationship to the activities of this children's ministry for promotional and/or informational purposes only.

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