April 12, 2024 By Laura Buchanan Step 1 of 6 16% Child's Name (as it will appear on nametag)* First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child's Birth Date*Children will be split into six groups which will roughly correspond to both their age and grade level. Participants must be attending Kindergarten through 6th grade for the 2024-25 school year.Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Grade in 2024-25 school year*Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade Parent/Guardian InformationParent/Guardian Name(s)* First Last Primary Phone*Secondary PhoneThird PhoneEmail* Enter Email Confirm Email This e-mail address will be used to send a confirmation e-mail. Emergency ContactEmergency Contact (other than noted)* First Last This person will only be contacted if parents/guardians are not able to be reached.Emergency Contact Phone* Allergy and Other InfoPlease list any food allergies here. (If none, leave blank.) Anything else about your child that would be helpful for us to know, please include here.If your child has a special need or has an additional adult helper to help navigate an event like VBS, please let us know here. Does child attend Faith Bible Church?*YesNoIf no, which church, if any, do you attend? Optional friend request. Child may request only one invited friend to be in the same group. Friend must be the same age or adjacent age and pre-registered. Please request only one friend. This is a great opportunity for outreach! Optional friend request. Child may request one friend to be in the same group. Friend must be the same age or adjacent age and pre-registered. Please request only one friend. VBS T-ShirtAlong with the email confirmation from this form, you will be receiving a link if you would like to order a VBS t-shirt. The cost of the t-shirt is $9.50. Orders must be placed by May 15, 2024. Photo PermissionPhoto Release Permission: I grant permission to Faith Bible Church to use any photos of my child taken at Vacation Bible School 2024 in FBC publications. No identifying information will be used.*If permission is not granted, please submit a recent photo of your child to fbc@faithb.org or church office to assist in our identification of your child in photos prior to publishing FBC publications.YesNoDo you wish to register another child?*YesNo