Theme image

Participant Registration

Go Back

Registro en Español

First Baptist Church Batesburg

Location

436 West Church Street

Batesburg, SC 29006

Map It

Contact Kelly Williamson:

803-604-2136

directorchildrenyouthfbcb@gmail.com

First, Tell Us About Yourself:

Parent Information

PARENT/GUARDIAN INFORMATION:

Please complete the Parent/Guardian Section below before providing information about your child. Each child needs a parent/guardian contact AND an additional emergency contact.

Family Name

This field is required.

First Name

This field is required.

Last Name

This field is required.

Address 1

This field is required.

Address 2

This field is required.

City

This field is required.

State/Province

This field is required.

ZIP/Postal Code

This field is required.

Contact Phone 1

This field is required.

Contact Phone 2

This field is required.

Text Message Phone

This field is required.

Emergency Contact Name

This field is required.

Emergency Contact Relationship

This field is required.

Emergency Contact Phone

This field is required.

Alternate Pickup Name

This field is required.

Alternate Pickup Phone

This field is required.

Alternate Pickup 2 Name

This field is required.

Alternate Pickup 2 Phone

This field is required.

Home Church Affiliation

This field is required.

I understand that the hours for VBS are 9:00am - 12:00pm each day. The doors will open at 8:45am for arrivals and check-in.

This field is required.

I understand that only adults 18 years or older listed on this form will be allowed to pick up my child at the end of VBS. And it is my responsibility to inform FBCB Batesburg of any changes in authorized pick up persons.

This field is required.

Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

First Name

This field is required.

Last Name

This field is required.

Grade Leaving

This field is required.

Gender

This field is required.

Date Of Birth

This field is required.

Allergies

This field is required.

Medical Concerns

This field is required.

Food Restrictions - must be a medically or religiously necessary.

This field is required.

Does your child require any accommodations to be able to participate fully in VBS activities?

This field is required.

Permission to take photos

This field is required.

Comments

This field is required.

— or —