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FBC Madill Kids' Week/VBS Registration 2019
Please register your child below for Kids' Week/VBS at FBC Madill!
Monday-Thursday July 22-25
8am - 12pm
Free!
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* Indicates required question
Child’s Name
*
Your answer
School Age
*
Please choose Grade most recently completed or age.
Choose
3 years old
4 Years Old
Kindergarten
1st
2nd
3rd
4th
5th
Child's Birthdate
*
Your answer
Parent 1 Name
*
Or Legal Guardian
Your answer
Parent 1 Phone
*
Enter the phone number of "Parent 1" listed above.
Your answer
Address
*
Your answer
Parent Email
Your answer
Parent 2 Name
Your answer
Parent 2 Phone
Your answer
Emergency Contact Name
*
Name
Your answer
Emergency Contact Phone #
*
Name
Your answer
LIST ANY ALLERGIES OF CHILD
Please let us know of any food, or other serious allergies your child may have to keep them safe as we will be having snack each day.
Your answer
Name of Home Church
Enter name of church regularly attended by family. If none type N/A.
Your answer
CHILD T-SHIRT SIZE
*
Please indicate T-shirt size, to be given at the end of the week.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
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