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VBS
FBC Holt VBS
June 7th - 9th
6-8PM
Carnival June 10th, 3-6PM
VBS Registration
Student Name
Age
4
5
6
7
8
9
10
11
12
Gender
Male
Female
Food allergies?
Yes
No
If yes, please list here.
Medical concerns?
Yes
No
If yes, please explain.
Parent/Guardian
Contact
✕
First Name
Last Name
Email
Phone Number
Add another person
*I hereby grant permission to FBC Holt to record sounds, images, or video of my child while attending this VBS program. I also give permission for FBC Holt at its sole discretion, to use these sounds, images, or videos in publications (including print, websites, and social media platforms) owned by FBC Holt in relation to this VBS program.
Yes
No
Submit
