FBC Mossy Head VBS

(850) 892-3525

First Baptist Church of Mossy Head
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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.

* Indicates required field

Name *

First

Last

First and Last name of the child who will attend our VBS. (Register each child/person separately)

Check one *

Member Visitor New Enrollee

Date of Birth MM/DD/YYYY *

Date of Birth of attendee

School Grade Completed *

Grade just completed

Address *

Address of your child (Put your address in comments if different)

Zip code *

Phone (XXX) XXX-XXXX *

Phone where you can be reached during VBS, with area code

Email *

Enrolled in Sunday School *

Yes No

If yes, name *

Name of Church where you are enrolled in Sunday School

If yes, city *

Christian? *

Yes No

Member of Church? *

Yes No

Member of any church?

If yes, Name *

if yes, city *

Mother's Name (or self) *

Mother enrolled in Sunday School? *

Yes No

If yes, Name *

Mother member of church? *

Yes No

If yes, Name *

Father's Name (or self) *

Father enrolled in Sunday School? *

Yes No

If yes, Name *

Father member of church? *

Yes No

If yes, Name *

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

Engaging and Enabling People to Enjoy Jesus Christ

Register forVacation Bible School

Register for
Vacation Bible School