First Baptist Church Wellsboro - Vacation Bible School

Vacation Bible School

August 4–8, 2025, 9:00am–12:00pm
Vacation Bible School at First Baptist Wellsboro for Children Ages 3–12
Registration Form

Fields marked with an asterisk (*) must be filled in. Use ”N/A“ if not applicable.

Registration

Child’s Name (first and last) *Please fill in the required fields.

Parent/Guardian Name *Please fill in the required fields.

Parent/Guardian‘s Address *Please fill in the required fields.

Child’s Address (if different)

Parent/Guardian Contact Information

Home/Cell Phone Number *Please fill in the required fields.

Work Phone Number

Email Address

Age Information

Current Age *Please fill in the required fields.

Birthdate

Last grade completed

Security Information

Medical or other information we need to know. (Please include any food allergies.) *Please fill in the required fields.

Emergency Contacts (Other than listed above. Please include name, relationship to the child, and phone number.) *Please fill in the required fields.

Dismissal Information: Who may pick up your child at the end of each VBS day? Please include name, relationship to the child, and phone number.) *Please fill in the required fields.

Other Information

Does your child attend church? If so, where?

If your child is visiting our church, who is he/she a guest of?

Do we have permission to photograph your child at VBS?

Yes

Do we have permission to use your child’s photograph for the purpose of future VBS promotion?

Yes

May we, on weather permitting days, take your child with their age group to The Green (the park across the street from the church) to play during our VBS recreation time?

Yes

I’d like to receive regular email updates from First Baptist Wellsboro

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

Located at 25 Central Ave, Wellsboro, PA 16901