Friendship Baptist Church VBS 2013 printable registration form

 

Friendship Baptist Church         Kingdom Rock logo - B&W

 VBS 2013 Registration Form

 

Child’s Name _______________________________________________

Parent/Guardian Name _____________________________________

Address ___________________________________________________

                                                   (street address, city, state, and zip code)

Mailing Address (if different) __________________________________

Phone Numbers

Home _____________________________________________________

Work ______________________________________________________

Cell ________________________________________________________

E–mail _____________________________________________________

Age Information

Birth date ____________

Last grade completed in school ____________

Medical Information

Medical or other information we need to know. (Please include any food allergies.)

___________________________________________________________

___________________________________________________________

___________________________________________________________

Emergency Contacts

Name_________________________ Phone number_________________

Name_________________________ Phone number_________________
Dismissal Information

Who may pick up your child at the end of each VBS day?

___________________________________________________________

Other Information

Do you attend Sunday School? If so where?

___________________________________________________________

If you are visiting our church, who are you a guest of?

___________________________________________________________

May we have permission to photograph your child?  Yes    No

May we have permission to use your child’s photograph for the purpose of promotion?  Yes   No

 

 Please bring or mail this completed form to: Friendship Baptist Church, 820 Pioneer Rd., Mesquite, TX 75149
(form may print as two pages; be sure to complete entirely, and be sure the registrant’s name is on both pages)
If you prefer, you may fax the completed form to: 972-289-3696.

 

 

 

Print Friendly
Share