First Baptist Church Wellsboro - Vacation Bible School

VACATION BIBLE SCHOOL

Registration Form:

Where did you hear about VBS this year

Child's Name (first and last):

Child's Age:

Child's Grade (last grade completed)?: *Please fill the required field.

Parent(s)/Guardian Phone # (xxx-xxx-xxxx): *Please fill the required field.

Parent(s)/Guardian Name(s):

Church currently attending (if any):

Parent email:

Medication(s) we should know about:

Allergies (if any):

Please contact me, I have other info and/or questions:

By typing my FULL NAME in the adjacent box I certify that I am the parent or legal guardian of the child being registered, that I have the legal authority to sign this document, and have read and consent to the publishing of photos, videos, or voice recordings of my child, as well as all of the above COVID information, and agree to have my child(ren) participate in First Baptist Church's Vacation Bible School.:

Medical conditions or other info we need to know:

3 + 4 = ?

Located at 25 Central Ave, Wellsboro, PA 16901

VACATION BIBLE SCHOOL

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