A very exciting time! Your children (3 yrs.old to 6th grade) will spend 2 1/2 hours every evening from 6:00 – 8:30 p.m., Sunday the 23rd of July thru Thursday the 27th, learning about the God of the Universe! It’s all FREE.

Attendee's Information

Child's Name (required)

Date of Birth (required) MM/DD/YYYY

Grade Going Into (If not in school yet, their age) (required)

Permission to take and publish photos (selection required)
YesNo

Parents or Guardians Information

Parent/Guardian Name (required)

Street Address (required)

City (required)

Zip Code (required)

Your Email (required)

Your Cell Number (required xxx-xxx-xxxx)

Your Cell Phone Service Provider (AT&T, T-Mobile etc.)

Spouses Name (if applicable)

Spouses Cell Number (if applicable xxx-xxx-xxxx)

Spouses Email (if applicable)

Do you go to a church? (selection required)

If yes, what church?

Are you a guest?

If yes, of whom?

If you don't come to our church, how did you hear about VBS?

Persons to Contact In Case of Emergency (if parents cannot be reached)

Emergency Contact #1 - Name (required)

Emergency Contact #1 - Relationship (required)

Emergency Contact #1 - Telephone (required xxx-xxx-xxxx)

Emergency Contact #2 - Name (required)

Emergency Contact #2 - Relationship (required)

Emergency Contact #2 - Telephone (required xxx-xxx-xxxx)

Who may pick up your child other than spouse or emergency contacts?

Medical Information

Allergies (if none write N/A) (required)

Physician's Name and Phone number:

Hospital Preference

Siblings Attending VBS

Name of Second Child

Date of Birth MM/DD/YY

Grade Going Into (If not in school yet, their age)

Special Instructions or Medical Information

Name of Third Child

Date of Birth MM/DD/YY

Grade Going Into (If not in school yet, their age)

Special Instructions or Medical Information

Name of Fourth Child

Date of Birth MM/DD/YY

Grade Going Into (If not in school yet, their age)

Special Instructions or Medical Information

I hereby authorize the leaders of FBCC VBS to act on my behalf when I cannot be contacted, IN CASE OF EMERGENCY, resulting in the need of immediate medical attention for my child/children listed above. I also agree to hold harmless the FBCC VBS leadership and First Baptist Church of Castroville from any accidents as a result of my child's/children's participation in its activities. Furthermore, I agree to reimburse First Baptist Church of Castroville for any and all medical expenses.

Electronic Signature: (required)

Please type your First and Last Name above

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Are there any questions we can answer for you? You can ask here or please call the church office at 830-538-3220, Thanks!

IF YOU WOULD LIKE TO PRINT THIS FORM - RIGHT CLICK THEN SCROLL TO PRINT BEFORE YOU HIT THE SEND BUTTON




Attendee's Information

Child's Name (required)

Date of Birth (required) MM/DD/YYYY

Grade Going into (required)

Permission to take and publish photos (selection required)
YesNo

Parents or Guardians Information

Parent/Guardian Name (required)

Street Address (required)

City (required)

Zip Code (required)

Your Email (required)

Your Cell Number (required xxx-xxx-xxxx)

Your Cell Phone Service Provider (AT&T, T-Mobile etc.)

Spouses Name (if applicable)

Spouses Cell Number (if applicable xxx-xxx-xxxx)

Spouses Email (if applicable)

Do you go to a church? (selection required)

If yes, what church?

Are you a guest?

If yes, of whom?

Persons to Contact In Case of Emergency (if parents cannot be reached)

Emergency Contact #1 - Name (required)

Emergency Contact #1 - Relationship (required)

Emergency Contact #1 - Telephone (required xxx-xxx-xxxx)

Emergency Contact #2 - Name (required)

Emergency Contact #2 - Relationship (required)

Emergency Contact #2 - Telephone (required xxx-xxx-xxxx)

Who may pick up your child other than spouse or emergency contacts? (Do not use commas)

Medical Information

Allergies (if none write N/A) (required)

Physician's Name and Phone number:

Hospital Preference

Siblings Attending VBS

Name of Second Child

Date of Birth MM/DD/YY

Grade '17-'18

Special Instructions or Medical Information

Name of Third Child

Date of Birth MM/DD/YY

Grade '17-'18

Special Instructions or Medical Information

Name of Fourth Child

Date of Birth MM/DD/YY

Grade '17-'18

Special Instructions or Medical Information

I hereby authorize the leaders of FBCC VBS to act on my behalf when I cannot be contacted, IN CASE OF EMERGENCY, resulting in the need of immediate medical attention for my child/children listed above. I also agree to hold harmless the FBCC VBS leadership and First Baptist Church of Castroville from any accidents as a result of my child's/children's participation in its activities. Furthermore, I agree to reimburse First Baptist Church of Castroville for any and all medical expenses.

Electronic Signature: (required)

Please type your First and Last Name above

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Are there any questions we can answer for you? You can ask here or please call the church office at 830-538-3220, Thanks!

IF YOU WOULD LIKE TO PRINT THIS FORM - RIGHT CLICK THEN SCROLL TO PRINT BEFORE YOU HIT THE SEND BUTTON