First Baptist Church of Havana, FL - VBS - FIRST BAPTIST CHURCH HAVANA

SUNDAY, June 12 through FRIDAY, June 17. It's free! Bring friends! Friday is Family Night!

Vacation Bible School 2016 Registration

* Indicates required field

Parent/Guardian Name *

First

Last

Address *

Phone Number *

Email *

Emergency Contact *

First

Last

Emergency Contact's Phone Number *

1 Child's Name *

First

Last

1 Child's Birth Date *

1 Child's Last Grade Completed in School *

2 Child's Name *

First

Last

2 Child's Birth Date *

2 Child's Last Grade Completed in School *

3 Child's Name *

First

Last

3 Child's Birth Date *

3 Child's Last Grade Completed in School *

Each Child's Medical Allergies or Other Info we need to know, include food allergies *

Dismissal: Who may pick up your child(ren) each day? *

Do you attend Sunday School? *

If so, where? *

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