Vacation Bible School Registration

First Baptist Church, Lee, Fla.

* = required text

Pre-K-6th grade

Fri., Oct. 4, from 6-9 p.m., and Sat., Oct. 5, from 9 a.m.-3 p.m.

Family closing ceremony 3-4 p.m.

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

Student's first name

Student's last name

Gender

Male

Female

Birthdate

Age

Last school grade completed

Address

Home Phone

Other Phone(s)

Home church, city, and state

Do you need transportation?

Yes

Allergies/Medical conditions

Emergency contact with phone number and relationship to child *

Person(s) other than you authorized to pick up your child. Include phone number. (Please add relationship: parent, friend, etc.)

Permission to upload a photograph or video of your child to social media

Yes

Please type in your signature

Date

Please list any questions or messages here

First Baptist Church, Lee, Fla.