FBC Emery VBS Registration

GLORIFYING GOD BY MAKING DISCIPLES

Child's Last Name: *

Parent/Guardian's First Name: *

(1 Corinthians 10:31, Matthew 28:19-20)

Please complete form once for each child. Thank you!

Child's First Name: *

Cell Phone

Grade 2022-23 School Year *

Address *

Preferred Method of Contact *

Phone call home

Phone call cell

Text

Home Phone

First Baptist Church, Emery, SD

Parent/Guardian's Last Name: *

Vacation Bible School

First Baptist Church

May 22 - 25 (Monday - Thursday)

8:30-11:25 am

Email *

Child's Birth Date *

Any allergies or special needs