First Christian Church | Wilson, NC
Sunday, August 20, 2017
(Disciples of Christ)

2017 VBS Registration Form

 
Children Names
(pre-k through rising 5th grade)
 
Child Name:
Grade (Fall 2017)
Age (as of July 1) 
Gender 
*T Shirt Size (T Shirts are provided.  Please note Y (youth) or A (adult) with the size:
Allergies/Disabilities:
 
 
 
Child Name:
Grade (Fall 2017)
Age (as of July 1) 
Gender 
*T Shirt Size (T Shirts are provided.  Please note Y (youth) or A (adult) with the size:
Allergies/Disabilities:
 
 
 
Child Name:
Grade (Fall 2017)
Age (as of July 1) 
Gender 
*T Shirt Size (T Shirts are provided.  Please note Y (youth) or A (adult) with the size:
Allergies/Disabilities:
 
Will your child/children & family attend our VBS Celebration on Sunday, July 30 @ 10AM?
Yes  No  
 
Family Contact
 
Parent/Guardian Name(s):
Relationship
Mailing Address:
Phone (Home):
Phone (Cell):
Phone (Cell 2):
Email:
Provide the names of the adults who are allowed to pick up your child (2 max):
 
 
 
 
Other Information
   
 
How did you hear about our VBS?
Are you looking for a church home/family? Yes  No
If no, where do you attend? 
Would you like to be on our FCC Newsletter List?: Yes   No
 
Is there any information you need or any questions you have about FCC or VBS?
 
Other information or notes you would like us to have:
 
 
Photography Agreement (check one box below):
 Yes, I agree to allow the church staff and VBS volunteers to take photos of my child to remember the activities and create a slide show to share during Sunday morning celebration and on social media.
Objections:   Photos may be taken, but not displayed on social media.
 NO photos at all.
 
 
 
Registration forms are due to FCC BY Wednesday, July 19.
Questions? call 237.4125