FBC Williams Arizona
Wednesday, May 23, 2018
Changing Hearts, Changing Lives, One Soul at a Time

VBS Registration Form

Registration Form • FBCW• VBS June 4th-8th, 2018
Child’s Name Parent/Guardian Name__________________________________
(street address, city, state, and zip code)
Mailing Address (if different)_______________________________________
Phone Numbers Home__________________ Work _______________
Age Information
Birth date________________ Last grade completed in school___________
Medical Information
Medical or other information we need to know. (Please include any food allergies.)
Emergency Contacts (other than listed above)
Names & Phone numbers______________________________________
Dismissal Information
Who may pick up your child at the end of each VBS day?___________________
Other Information
Does your child attend Sunday School? If so where?______________________
If your child is visiting our church, who is he a guest of?____________________
May we have permission to photograph your child?  Yes or No
May we have permission to use your child’s photograph for the purpose of promotion?  Yes or No
*Please print off and send to FBCW at 629 W Grant Ave, Williams AZ 86046 or send with your child the first day of VBS.  Please call the office with questions. *