basic Elements VBS Registration Form

BLAST into summer with an EXPLOSIVE VBS program like you’ve never experienced. First Evangelical Free Church is hosting B.A.S.I.C. Elements Science VBS July 9-12th from 6-8:30pm. Kids will explore the world of science – from launching rockets to squishing slime — while walking through five elements of faith — Believe, Ask, Serve, Impact, Celebrate.

Parent Information

Parent/Guardian 1 Name

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Email

This address will receive a confirmation email

Parent/Guardian 1 Address

Parent/Guardian 2 Name

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email

This address will receive a confirmation email

Parent/Guardian 2 Address (if different than parent 1)

VBS Child(ren) Information

Child 1 Name

Child 1 Grade (2024 - 2025)

Child1 Birthdate

Child 1 Allergy/Medical Info

Child 2 Name

Child 2 Grade (2024 - 2025)

Child 2 Birthdate

Child 2 Allergy/Medical Info

Child 3 Name

Child 3 Birthdate

Child 3 Grade (2024 - 2025)

Child 3 Allergy/Medical Info

Child 4 Name

Child 4 Birthdate

Child 4 Grade (2024 - 2025)

Child 4 Allergy/Medical Info

Photo Release

By signing this form, I give First Evangelical Free Church permission to photograph my child(ren) and use his or her pictures in the church’s digital and print communications. First Evangelical Free Church will never publish a child’s name or any other personal information with any of its publications.

I hereby grant permission to First Evangelical Free Church to use photographs and/or video of my child(ren) taken on (date) at basic Elements VBS in publications, news releases, online, and in other communications related to the mission of First Evangelical Free Church.

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OPTIONAL VBS Registration Fee

We can't wait for this explosive VBS with your young scientists! Donations will be used to cover the cost of supplies and snacks. They are entirely optional but appreciated.

Scientist Supply Donation

Emergency Contact

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

basic Elements VBS Registration Form

Description

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