Registration for VBS @ First Baptist Church of Machesney Park
Gotta Move VBS @ First Baptist Church of Machesney Park
June 16-June 20
9am -11:30am
Kindergarten through 5th grade
First Baptist Church of Machesney
718 Harlem Road
Machesney Park, IL 61115
Email: office@fbcmp.net
Call: 815-633-2740
Family Information
Parent/ Guardian Name
*
Phone
*
Email
*
This address will receive a confirmation email
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Church Information
Please select all that apply.
We are currently attending First Baptist Church of Machesney Park.
We are currently attending another church.
We are interested in learning more about First Baptist Church of Machesney Park.
Others authorized to pick up:
Emergency Contact Information
Name
*
Relationship to Child
Phone
*
Child(ren)'s Information
Child's Name
*
Birthday
*
Grade
*
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Special Needs
Occasionally, photographs/videos are taken during VBS for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church websites, brochures and newsletters and the church/VBS Facebook page. Children’s names and information are never used without specific permission. By signing this area, you are releasing First Baptist Church of Machesney Park to use photographs/videos of your child as stated above. (Please type your name below)
Child's Name
Birthday
Grade
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Special Needs
Occasionally, photographs/videos are taken during VBS for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church websites, brochures and newsletters and the church/VBS Facebook page. Children’s names and information are never used without specific permission. By signing this area, you are releasing First Baptist Church of Machesney Park to use photographs/videos of your child as stated above. (Please type your name below)
Child's Name
Birthday
Grade
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Special Needs
Occasionally, photographs/videos are taken during VBS for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church websites, brochures and newsletters and the church/VBS Facebook page. Children’s names and information are never used without specific permission. By signing this area, you are releasing First Baptist Church of Machesney Park to use photographs/videos of your child as stated above. (Please type your name below)
Child's Name
Birthday
Grade
Please select one option.
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Special Needs
Occasionally, photographs/videos are taken during VBS for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church websites, brochures and newsletters and the church/VBS Facebook page. Children’s names and information are never used without specific permission. By signing this area, you are releasing First Baptist Church of Machesney Park to use photographs/videos of your child as stated above. (Please type your name below)
Submit
Description
Gotta Move VBS @ First Baptist Church of Machesney Park
June 16-June 20
9am -11:30am
Kindergarten through 5th grade
First Baptist Church of Machesney
718 Harlem Road
Machesney Park, IL 61115
Email: office@fbcmp.net
Call: 815-633-2740
×
Please Fix the Following