Vacation Bible School

Please fill out the entire form to preregister your child for VBS. If you have questions, please contact our church office or email vbs@fbcjennings.com

If you have more than one child, please check the box here. Once you complete the form, it will reload for you to enter the second (third, fourth, etc) child.

Name * First Last

Please enter name of child.

Birthday * Month / Day / Year

Please enter date of birth of child

Grade Just Completed *

Enter the last completed grade of the child.

Please enter PS for preschool,
K for Kindergarden, 1 for 1st grade, 2 for 2nd grade, etc.

Allergies

Food, Drug, or Environmental Allergies (peanuts, dust, dogs, etc...)

Please enter any food, environmental or medical allergies your child may have.

Demographics

Please use the child's physical address. If you need our church to provide transportation, please be sure to mark it here.

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Please enter the address for where the child will be physically staying during the week of June 20-24.

Transportation *

I will provide transportation. I would like the church to provide transportation.

Please choose how the child will be transported.

Parent Information

Please provide information of the parent/guardian.

Name & Relationship * First Last Relationship

Enter the name and relationship of the parent or guardian.

Email Address

name@address.com

Please enter an email address where the parent/guardian can be reached.

Primary Phone Number

000-000-0000

Please enter a primary number where the parent/guardian can be reached.

Secondary Phone Number

000-000-0000

Please enter a secondary number where the parent/guardian can be reached.

Parent Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Please enter the parent/guardian address. You may skip this section if the childs address is the same.

Church Membership *

I currently do not attend a church. First Baptist Church Jennings Other - Please indicate

Please indicate if you are attending church.

Secondary Contact Information

Please list someone who can be contacted in case of an emergency and our staff is unable to contact you. This person should be familiar with your child. You may leave this blank if you choose.

Name & Relationship First Last Relationship

Enter the name and relationship of a secondary contact.

Primary Phone Number

000-000-0000

Please enter a primary number where the secondary contact can be reached.

Secondary Phone Number

000-000-0000

Please enter a secondary number where the secondary contact can be reached.

Who is ALLOWED to pick up your child

No more than 3 people separated with a comma (,)

Please list up to 3 people who may pick up your child following VBS.

Who is NOT ALLOWED to pick up your child

No more than 3 people separated with a comma (,)

Please indicate if there is someone who is NOT ALLOWED to pick up your child.

More Information

If you are interested in more information about First Baptist Church or any events we are doing in the future, please let us know. Our website is full of information and is being updated daily with new opportunities to serve our community visit us at www.fbcjennings.com. If you would like to speak to a staff minister please contact us, we would love to help.

More Information

I would like more information on First Baptist Church I would like more information on children's events I would like more information on how to become a member I would like someone to contact me regarding my relationship with Jesus Christ