Breaker Rock Beach VBS Registration Form 2024

July 15-19 | Yay! I am so glad that you are coming to our FABC Kids Breaker Rock Beach VBS! Find us on Facebook @FABCKIDS for more information about our FABC Kids Ministry!

Child's Name

Age

Sex

Please select one option.

Male Female

Grade Just Completed

Please select one option.

3 Years Old (by 8/31/23) Pre-K Kinder 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Please note that all children who register for VBS must be potty trained. Is your child potty trained?

Please select all that apply.

Yes No

Child's Shirt Size:

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

This address will receive a confirmation email

Address

Parent/Guardian Name:

Parent's Cell:

Is your child allergic to any foods or medicines? (Please list.) If so, will your child be bringing an Epi Pen to VBS?

To make this a better experience for your child, are there any special needs he/she has that we should plan to accomodate?

Are you and/or your child a member of Friendly Avenue Baptist Church?

Please select one option.

Yes No

Please list all adults authorized to pick up your child from VBS.

Please list another person to contact in the case of an emergency. Please include their name, cell phone number and relationship to you/your child. (Please note that we will try to contact you first in the case of an emergency.)

Description

July 15-19

Yay! I am so glad that you are coming to our FABC Kids Breaker Rock Beach VBS! Find us on Facebook @FABCKIDS for more information about our FABC Kids Ministry!

Breaker Rock Beach VBS Registration Form 2024

Description

Please Fix the Following