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Youth Ministry
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Indicates required field
Child's Name
*
First
Last
Child's Birth Date
*
Child's Age
*
Grade Completed
*
Parent / Guardian Name(s)
*
Home Phone
*
Mobile Phone
*
Home Mailing Address
*
Emergency Contact Person 1
*
Emergency Contact Phone 1
*
Emergency Contact Person 2
*
Emergency Contact Phone 2
*
What church do current attend?
*
Allergies or Special Needs
*
Dismissal (A Security Card will be issued for each child at check-in time and MUST be presented at dismissal.)
Who may or has your permission to pick-up your child at the end of VBS?
Pick-up Person Name 1
*
Pick-up Person Relationship 1
*
Pick-up Person Name 2
*
Pick-up Person Relationship 2
*
photo/picture permission (Please read fully and carefully)
I(we) give my(our) consent to First Baptist Church to use photo or video images taken of my(our) child(ren) in church brochures, advertisements for the church, on the website, in social media, and in other church publications as they see fit. I agree to hold harmless First Baptist Church from any liability which may result from the use of said picture(s).
Please Choose One
*
My permission is given.
My permission is not given.
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:
The information you have provided will be kept strictly confidential. Your information may be used only when absolutely needed. Our actions will be followed only based on your permission(s).
By sending or submitting this application, information, or form when you select the `SUBMIT' button, you agree to the terms and permissions as presented previously stated and as of the digital date stamp sent to First Baptist Church.
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About
What We Believe
Our History
Leadership & Staff
Worship
Worship Services
Weekly Prayer Service
Discipleship
Ministries
Youth Ministry
Children's Ministry
Senior Adult Ministry
Men's Ministry
Women's Ministry
Missions
Cooperative Program
Events
Contact
Giving