VBS Registration

FBCNA and Community Bible Church of Williamstown
'Maker Fun Factory' VBS Registration 2017

Name of Parent/Contact Person *

First

Last

Address of Family/Contact Person *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number of Family/Contact Person *

Email *

Church Affiliation *

VBS Attendee Info *

Please list below all those who will be attending VBS -- adults, school-aged children and children of nursery age (birth through pre-k). There will be something for everyone at Maker Fun Factory VBS at FBCNA!

Name *

Age *

Grade (in the fall) *

Please list any allergies/issues/concerns that your child/children have below. If registering more than one child, please be sure to put child's name with the specific allergy or issue. Thank you. Please note! Children who have/use either an epi-pen or albuterol inhaler for allergies or asthma should provide one at check-in in case of emergency use. *

If your child(ren) will be in the nursery group, please share the following information bleow -- How long would you like us to let your child cry before we contact you? Any food restrictions? Does your child nurse and will you be available if so? Special comfort items? *

Emergency Contact Info *

Name (emergency contact) *

Relationship (emergency contact) *

Phone Number (emergency contact) *

If you are not able to complete the above form, or have questions, please call the church office at
413/663-3780 during office hours (M-F 8:30am to 1:30pm) or email us office@firstbaptistnorthadams.org anytime.
We look forward to seeing you at Maker Fun Factory VBS!

Submit VBS Registration

FBCNA and Community Bible Church of Williamstown'Maker Fun Factory' VBS Registration 2017

VBS Attendee Info *

Emergency Contact Info *

FBCNA and Community Bible Church of Williamstown
'Maker Fun Factory' VBS Registration 2017