Fellowship Baptist Barboursville - VBS Registration

FELLOWSHIP BARBOURSVILLE

Child Information

Contact

✕

First Name

Last Name

Date of birth

Gender

Add another person

Parent Information

Contact

✕

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Add another person

Phone Carrier (For Text Updates)

Any physical limitations, allergies, or medication we need to be aware of?

Would you like to be added to our email list for updates on our kids ministry?
Yes
No

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