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.
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

Engaging and Enabling People to Enjoy Jesus Christ

Register forVacation Bible School

Register for
Vacation Bible School