2026 Vacation Bible School Registration

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Parent and Emergency Contact Information

Parent/Guardian First Name

*

Parent/Guardian Email

*

This address will receive a confirmation email

Parent/Guardian Phone Number

*

Parent/Guardian Address

*

Name of Secondary Emergency Contact

*

Secondary Emergency Contact's Phone Number

*

Secondary Emergency Contact's Relationship to Child(ren)

*

Name's of other individuals authorized to pick up child(ren).

*

Do you want your child(ren) released to walk home by themselves after the event?

*

Please select one option.

Yes No

May we take pictures of your child(ren) and use those pictures as marketing for BFCC?

*

Please select one option.

Yes No

Register your Child(ren)

Child #1 First and Last Name

*

Child #1 Birthdate

*

Child #1 Gender

*

Please select one option.

Male Female

Child #1 Last Grade Completed

*

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Child #1 Allergies/Medical Information

*

Child #2 First and Last Name

Child #2 Birthdate

Child #2 Gender

Please select one option.

Male Female

Child #2 Last Grade Completed

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Child #2 Allergies/Medical Information

Child #3 First and Last Name

Child #3 Birthdate

Child #3 Gender

Please select one option.

Male Female

Child #3 Last Grade Completed

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Child #3 Allergies/Medical Information

Child #4 First and Last Name

Child #4 Birthdate

Child #4 Gender

Please select one option.

Male Female

Child #4 Last Grade Completed

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Child #4 Allergies/Medical Information

Description

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