(850) 892-3525
First Baptist Church of Mossy Head
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VBS
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Register for
Vacation Bible School
Any questions about this form and its requirements may be directed to the church.
You may contact the church office
here
or call us at (850) 892-3525.
One submission per family.
*
Indicates required field
Mother's Name (or self)
*
Example - Tina Potts
Mother enrolled in Sunday School?
*
Yes
No
If yes, Name
*
Father's Name (or self)
*
Father enrolled in Sunday School?
*
Yes
No
If yes, Name
*
Mother member of church?
*
Yes
No
If yes, Name
*
Adult 1 - Attendee
*
First
Last
Only if you are attending VBS
Adult 2 - Attendee
*
First
Last
Only if you are attending VBS
Student 1
*
First
Last
EXAMPLE - John Smith, First and Last name of the child who will attend our VBS. Add additional students to this form
Student 2
*
First
Last
[object Object]
Student 3
*
First
Last
[object Object]
Student 4
*
First
Last
[object Object]
Student 5
*
First
Last
Father member of church?
*
Yes
No
If yes, Name
*
School Grade Completed Student 1
*
Grade just completed
School Grade Completed Student 2
*
School Grade Completed Student 3
*
School Grade Completed Student 4
*
School Grade Completed Student 5
*
Address
*
Address of your child
Zip code
*
Phone (XXX) XXX-XXXX
*
Phone where you can be reached during VBS, with area code
Email
*
City
*
Medical or other information we need to know:
*
In the event of an emergency, whom do we call?
*
Phone Number
*
Who may pick up your child at the end of each VBS day?
*
If you are visiting our church, who are you a guest of?
*
May we have permission to photograph you or your child?
*
Yes
No
May we have persmission to use you or your child's photograph in church publications for the purpose of promotion?
*
Yes
No
I agree to receiving marketing and promotional materials
Submit Registration
