VBS Registration 2019

Your Child's Info

Name

Gender

Male Female

Birthday

*For the birthday field you can choose using the pop-up calendar or just type the date using DD/MM/YYYY formatting.

For grade, please select the grade your child is entering in the fall of 2019

Parents / Guardians

Your Name

Address

Home Phone

Cell Phone

Work Phone

This address will receive a confirmation email

Emergency Contact Info

Name

Relationship to Child

Phone

Health Info

Food Allergies

Yes No

List

Medical Concerns

Yes No

Explain

Pick Up

Who who will be picking up your child?

Who is NOT permitted to pick up your child?

Lastly...

What's the name of your home church?

How did you learn about VBS at FBCP?

May we take and share photos of your child?

Yes No

Description

Monday, July 15th - Friday, July 19th 6:30-9:00 PM

Please take a moment and fill out this form. When finished, click submit.

You will need to fill out this page for each of your children.

Our VBS closing program will take place Sunday, July 21, 2019 during the 11:00 Service.

**Please pick up your child(ren) at their last rotation point. You will be provided a schedule on the first day of VBS.

If you have any questions, feel free to email the VBS Team at vbs@fbcpatchogue.com!

The First Baptist Church of Patchogue
482 North Ocean Avenue
Patchogue, NY 11772
631-289-0230
fbcpatchogue.com

Mon-Fri Office Hours
8:30 am - 3:30 pm

Sunday
8:15 am - Morning Worship
9:30 am - Bagels & Coffee
9:45 am - Sunday School
11:00 am - Morning Worship

VBS Registration 2019

Description

Please Fix the Following