Vacation Bible School Registration

Lee First Baptist Church

Pre-K-6th grade

Fri., May 30, from 6-9 p.m., and Sat., May 31, from 9 a.m.-4 p.m.

Sunday June 1, 11am Family Service

(To return to the Lee, FBC, homepage, click here)

Student's first name

Student's last name

Gender

Male

Female

Birthdate

Age

Last grade completed

Will you need Transportation?

Yes

Home Address

Home Phone

Home Church Name

Home church city, and state

Allergies/Medical conditions

Emergency contact Name

Emergency contact phone number

Emergency contact Relationship

Person(s) authorized to pick up your child and relationship

Phone number of person(s) authorized to pick up

Photo/Video Release

I give Lee First Baptist permission for photographs and/or video recordings of myself and/or my child(ren) to be used by the church for promotional purposes, including but not limited to the church’s website, social media platforms, and printed materials. I understand that no names will be used without additional written consent.

Permission for photo/video

Yes

Must check

To the best of my knowledge all my answers are true and accurate

Type Your Name as your signature

Date

Please list any questions or messages here