Fairview Baptist VBS 2023

Participant Registration

If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)

Personal Information

Welcome to Fairview Baptist Church Twists and Turns VBS 2023!
*Participant's First Name:
*Participant's Last Name:
*Preferred Name for Name Tag:
Gender:
Siblings (who attend VBS): (Please write first and last name.)
*Parent/Guardian Name:
*Address:
*City:
*State:
*Zip:
*Primary Phone: (555-555-5555)
*Work Phone: (555-555-5555)
*Cell Phone: (555-555-5555)
*Email:
*Birthday: (MM/DD/YYYY)
*Last Grade Completed:
Allergies, Medical, & Special Needs: (Leave Blank if None)
*Emergency Contact Name (1):
*Emergency Contact Phone (1): (555-555-5555)
*Emergency Contact Name (2):
*Emergency Contact Phone (2): (555-555-5555)
*Authorized Pickup #1:
*Authorized Pickup #2:
Are you a member of this church?	Yes
Guest of:
Do you attend Church?	Yes
If so, where?
May we have permission to photograph your child?	Yes
May we have permission to use your child's photograph in church publications?	Yes
Comments: