VBS Registration

Child's Information

1) Child's Name *

First

Last

Gender *

Male
Female

Area *

Preschool (must have older registered Elementary or MS sibling, attends FBC Preschool, Parent attending Adult Class, or Parent Volunteering)
Elementary (Entering 1st - 5th Grade)
Middle School (Entering 6th - 8th Grade)

Birth Date / Age *

Grade Entering *

Food Allergies

Important: Please check, if YES

My child attends FBC Preschool Learning Center
My child attends FBC Summper Camp

2) Child's Name

First

Last

Gender

Male
Female

Area

Preschool (must have older registered Elementary or MS sibling, attends FBC Preschool, Parent attending Adult Class, or Parent Volunteering)
Elementary (Entering 1st - 5th Grade)
Middle School (Entering 6th - 8th Grade)

Birth Date / Age

Grade Entering

Food Allergies

Important: Please check, if YES

My child attends FBC Preschool Learning Center
My child attends FBC Summper Camp

3) Child's Name

First

Last

Gender

Male
Female

Area

Preschool (must have older registered Elementary or MS sibling, attends FBC Preschool, Parent attending Adult Class, or Parent Volunteering)
Elementary (Entering 1st - 5th Grade)
Middle School (Entering 6th - 8th Grade)

Birth Date / Age

Grade Entering

Food Allergies

4) Child's Name

First

Last

Gender

Male
Female

Area

Preschool (must have older registered Elementary or MS sibling, attends FBC Preschool, Parent attending Adult Class, or Parent Volunteering)
Elementary (Entering 1st - 5th Grade)
Middle School (Entering 6th - 8th Grade)

Birth Date / Age

Grade Entering

Food Allergies

Important: Please check, if YES

My child attends FBC Preschool Learning Center
My child attends FBC Summper Camp

Should we be aware of any health, emotional or developmental concerns regarding your child?

Yes
No

If yes, please list:

Parent's / Guardian's Information

Parent's /Guardian's Name *

First

Last

Parent's /Guardian's Address (Include City and Zip) *

Parent's/Guardian's Home Phone

Parent's /Guardian's Cell Phone *

Parent's /Guardian's Email *

Parent's /Guardian's Martial Status *

The child/children live with *

Both Parents
Mother
Father
Other

Emergency Contact and Phone:

Are you a church member?

Yes
No

If yes, which Church?

Parent / Adult Volunteer Signature: *

I give my permission for my child/children to participate in the Vacation Bible School week of June 10 - 14 at First Baptist Church, Pompano from 5:30 pm - 8:30 pm, and to publish any photographs or video take during Vacation Bible School program.

NOTE: Souvenir T-shirt are available for $7.00 at the church. Make checks payable to FBC Pompano.

Please contact me: I would like to volunteer as a VBS workers!
Please contact me about the Adult Class offered during VBS.

About

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Child's Information

Parent's / Guardian's Information

About

Ministries

Events

Senior Adult Day

Marriage Seminar w/ Dr. Bob Barnes

Messages:

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The Resurrection is for Real

Pastor Ron Harvey - April 21, 2019

It is Finished

Pastor Ron Harvey - April 19, 2019

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