First Baptist Church of Bettendorf IA
First Baptist Church Bettendorf IA

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Tuesday Morning Ladies Bible Study Tuesday, Feb 25 @ 9:00 AM
Unashamed 116 Small Group Tuesday, Feb 25 @ 6:30 PM
Men's Prayer Breakfast Wednesday, Feb 26 @ 7:30 AM
Food Pantry Wednesday, Feb 26 @ 9:00 AM
Praise Band 3 Rehearsal Wednesday, Feb 26 @ 5:45 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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