VBS Registration – First Baptist Church of Ashburn

VBS Registration

Adult Name

First

Last

Adult Name 2

First

Last

Youth or Child Name 1

First

Last

Grade completed in 2020-2021 school term of Youth or Child 1

Youth or Child Name 2

First

Last

Grade completed in 2020-2021 school term of Youth or Child 2

Youth or Child Name 3

First

Last

Grade completed in 2020-2021 school term of Youth or Child 3

Youth or Child Name 4

First

Last

Grade completed in 2020-2021 school term of Youth or Child 4

Address

City

Cell Phone Number

Please send me text related to First Baptist VBS

Please DO NOT send me text related to First Baptist VBS

Emergency Contact

First

Last

Emergency Contact Number

Please let us know of any allergies or medical conditions we need to be aware of for your children.