Child's First Name

Child's Last Name

Birthdate

Gender

Allergies

Medical Needs?

Child's age by 09/30/25 or Grade completed 24/25 School Year. All children must be potty trained to attend VBS. Please contact the church office if you have any questions.

What school does your child attend?

Where do you currently attend worship?

We attend Fair Park

We attend Another Church

We do not attend any church

If you selected "We attend another church", please list the name of your home church.

Parent First Name

Parent Last Name

Parent Email

Parent Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Would you like to provide the name and contact information for a second parent or guardian?

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone Number

Emergency Contact First and Last Name – Adult, 18 years and older, to be contacted if parent(s) or guardian(s) listed above cannot be reached.

Emergency Contact Phone Number

Please note that by registering your child for VBS you are granting Fair Park Baptist Church permission to use video footage or photographs of your child(ren) for marketing and promotional purposes.

I have read this disclaimer

Please note that by registering your child for VBS, you are granting Fair Park Baptist Church permission to email the parents/guardians VBS related communications.

I have read this disclaimer