First Baptist Church of Bettendorf IA
First Baptist Church Bettendorf IA

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Food Pantry Need Paper Towels Wednesday, May 1 - All Day
Pregnancy Resources Emphasis Month Sunday, May 12 - All Day
Discipleship Classes Sunday, May 26 @ 9:00 AM
Morning Worship Sunday, May 26 @ 10:00 AM
FBC Graduation Celebration Sunday, May 26 @ 12:00 PM

VBS 2019 Child Registration Form
Child's Name
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Parent/Guardian Name
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(street address, city, state, and zip code)Invalid Input
Mailing Address
(if different)Invalid Input
Phone Numbers
(home, work, cell)Invalid Input
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Child Birth Date
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Last Grade Completed in School
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Medical Information
Medical or other information we need to know. (Please include any food allergies)Invalid Input
Emergency Contacts
Names & Phone Numbers (other than listed above)Invalid Input
Dismissal Information
(Who may pick up your child at the end of each VBS day?)Invalid Input
If your child is visiting our church, is he a guest of someone?
Name of FBC MemberInvalid Input
May we have permission to photograph your child?
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May we have permission to use your child's photograph for promotion purposes?
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Submit Form to First Baptist Church VBS Leaders


First Baptist Church - 3593 Middle Road Bettendorf, IA 52722 | Phone: 563-355-6200
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