Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

The individuals listed below are authorized to pick up my child/children from VBS.

We plan to attend FAMILY NIGHT, July 18th, 6:00 pm.

Student Information

Gender

Birth Date

Age Group

If you are registering a child with special needs, please list their age and explain in detail the needs your child has that will help make your child comfortable during our VBS.

Food Allergies

Details

Medical Concerns

Details

Flowood Baptist Church has my permission to use photographs or videos taken of my child during VBS for promotional purposes. No names will be published.

I have more students to register