Child's First Name
*
Child's Last Name
*
Gender
*
Male
Female
Age
*
School Grade Completed in the 2024-2025 School Year
*
-- None --
Nursery/Pre-school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
College
Special Needs & Allergies
*
Parents First Name
*
Parents Last Name
*
Address
*
City
*
State
*
Zip Code
*
Mobile Number
*
Email Address
*
Home Church
Emergency First Name
*
Emergency Last Name
*
Emergency Phone Number
*
Person Responsible for Pickup after VBS
*
Their Phone Number
*
Relationship to Child
*
I hereby grant permission to use photographs and/or video of my child taken during Vacation Bible School for promotional purposes. This may include (but is not limited to) church bulletins, website, social media, and presentations.
Yes
No
I consent to receive SMS and email communication from Fair Haven Baptist Church. I understand that this communication may include notifications. I can opt out of receiving SMS communication at any time by replying "STOP" to any SMS message received.
I Agree
Remove
Add Another Child
Submit