Online Vacation Bible School Registration

All Day (9am-2pm) July 18-20

Child's Name:

Parents/Guardian's Name(s):

Parents/Guardian's e-mail:

Street Address:

City:

State:

Zip:

Home Phone:

Other (Emergency) Phone:

Child's Birthdate:

Child's Age (as of July 18, 2008):

Grade Last School year:

Child's Sex:

Name of Church Your Family Regularly Attends:

Special Medical Information/Allergy Information:

    ** By clicking submit, you will register your child for First Baptist's Vacation Bible School  and

                                    you agree to allow First Baptist to use your child's picture for promotional purposes.