2018 Vacation Bible School: June 11-15 9:00am - 12:00pm

June 11th - June 15th 9am - Noon | Please fill out this form and click submit.

Child's Information

Child's Name

*

Birth Date

*

Age/Grade Completed

*

Please select one option.

Pre-K K 1st 2nd 3rd 4th 5th 6th

Food Allergies

*

Please select all that apply.

Dairy Gluten Peanut Other None

Church Attendance

*

Please select one option.

I attend here at First Los Lunas! I attend somewhere else. I do not attend church

Parent/Guardian's Information

Name

*

Email

*

Phone

*

Address

*

Emergency Contact Information

Name

*

Phone

*

Permissions

As the parent or guardian of the above child/children, I give my permission for the above child/children to attend Vacation Bible School at First Baptist Church Los Lunas. In the event of a medical emergency where the parents/guardian or the emergency contact cannot be contacted, I give my permission for First Baptist Church Los Lunas leaders to seek necessary medical care for my child. Typing my name here constitutes an electronic signature.

*

Photography Permissions

*

Please select all that apply.

Yes, you may photograph my child. No, you may NOT photograph my child. Yes, you may use my child's image on the church social media pages. No, you may not use my child's image on the church social media pages.

Description

June 11th - June 15th 9am - Noon

Please fill out this form and click submit.

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