June 24-28 — 9AM – Noon

For children 4 years old through 5th grade (just completed)

Parents/Guardians, please submit one registration form for each child who will participate in Vacation Bible School.

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Child's Information

Name
Please include any food or other allergies
Do you need transportation?
Round trip transportation is available to the Boys & Girls Club. Pick-up at 8:30 AM and return 12:15 PM.

Parent/Guardian Information

Name
Address

Emergency Contact Information (other than parent/guardian listed above)

Name

Who else may pick up your child from VBS?

(Other than the parent/guardian and emergency contact listed above)
Name
Name

Parent/Guardian's Permission to Participate

By affirming below, I give my permission for my child to participate in Vacation Bible School at First Baptist Church, Fredericksburg, TX.

Parent/Guardian's Authorization of Emergency Medical Treatment

By affirming below, I authorize any emergency medical treatment deemed necessary for my child by any licensed physician after First Baptist has made a reasonable effort to contact me first at the phone numbers provided above. I assume all costs for any such treatment. I release First Baptist Church and the staff, chaperones, and volunteers of Vacation Bible School from all liability for such treatment.