FBC Moreland VBS Registration June 2nd (6PM-9PM), 3rd (6PM-9PM), 4th (9AM-Noon), 5th (10:30AM)

06/02/2022 - 06/05/2022 | Please fill out this form and click submit.

Parent Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

1 Child's Name

*

age group

*

Please select one option.

3 year old - completed PreK completed K-2nd completed 3rd-5thOption

allergies or medical needs

*

2 Child's Name

age group

Please select one option.

3 year old - completed PreK completed K-2nd completed 3rd-5th

Allergies or medical needs?

3 Child's Name

age group

Please select one option.

3-year old - completed PreK completed K-2nd completed 3rd-5th

Allergies or medical needs?

4 Child's Name

age group

Please select one option.

3 year old - completed PreK completed K-2nd completed 3rd-5th

Allergies or medical needs?

Emergency contact other than parent listed above. Name and Phone

*

Description

06/02/2022 - 06/05/2022

Please fill out this form and click submit.

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