Author: Angela Gurley

FMC VBS 2025 REGISTRATION
Child/Attendee Information
First Name:	Last Name:
Grade Leaving:	Date of Birth:

T-Shirt Size:
Youth ( ) Small ( ) Medium ( ) Large ( ) Extra Large
Adult ( ) Small ( ) Medium ( ) Large ( ) Extra Large

Parent/Family/Guardian Name: PLEASE PRINT
Address
Email
Home Phone Cell Phone
Work Phone
Home Church:
EMERGENCY CONTACTS:
Name Phone Relationship
Name Phone Relationship
Special Needs/Allergies/Medical Information/Other:
DISMISSAL INFORMATION
Name(s) of Person(s) who may pick up this attendee from VBS (ID is required upon pick-up):
PHOTO RELEASE:
This form shall serve to grant FMC Mabank permission to post pictures of the child you are registering and who will be attending our VBS event. Photos may be posted on the church’s Facebook page and displayed during our Sunday morning worship service slide show on June 30, 2024. Please check your preference below and sign where indicated:
YES, I give FMC Mabank permission to include my child’s photo.
NO, I do not give FMC Mabank permission to include my child’s photos.
Signature of Parent/Family/Guardian:
Date