First Church Open Bible

One form per legal household. If students are bringing friends, the friend's parent should complete a form separately. Thank you!

Parent/legal guardian First Name

Parent/legal guardian Last Name

Email

Phone Number

Parent Address

Apartment, suite, etc.

City

State

Postal / Zip Code

How Many of your kids (ages 3-12) are you registering?

Please enter a 2nd adult that you authorize to pick-up your child/children at VBS in case you are unable. Only authorized adults will have permission to pickup students:

2nd Authorized Adult First Name

2nd Authorized Adult Last Name

Phone Number of 2nd authorized adult

Child #1 First Name

Last Name

Gender

Birthdate

Grade

Allergies

Child #2 First Name

Last Name

Gender

Birthdate

Grade

Allergies

Child #3 First Name

Last Name

Gender

Birthdate

Grade

Allergies

Child #4 First Name

Last Name

Gender

Birthdate

Grade

Allergies

Child #5 First Name

Last Name

Gender

Birthdate

Grade

Allergies

Child #6 First Name

Last Name

Gender

Birthdate

Grade

Allergies