FBC St Paris

2025 Federation of Churches VBS Registration

Thank you for registering your child for Vacation Bible School (VBS) July 7-11 from 6-8:30pm each evening. Registration begins at 5:30pm and we ask you bring your child each night. If you have any questions please contact First Baptist Church St. Paris at 937-663-4335 or pastor@fbcstparis.com.

VBS will take place on East Walnut Street in St. Paris at both the Temple St. Paris and Sacred Heart Churches. Grades 5 & 6 may also be at the Evans Purk Building on South Church Street in St. Paris.

Parent/Guardian's First Name

Parent/Guardian's Last Name

Child's Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Parent/Guardian's Phone Number

Parent/Guardian's Email

Church Attend

Emergency Contact First Name (if different than parent)

Last Name

Emergency Contact Phone Number (if different than above)

The following questions pertain to the child attending VBS.

Child's First Name

Child's Last Name

Gender

Grade Entering in Fall

Allergies or Medical Conditions Relevant to VBS

Birthdate

Medical Release: I give my permission for the VBS staff to administer basic first aid to my child in the event of an injury. I understand that VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me. VBS staff will make contact to me or the emergency contact as well as emergency services.

Medical Release Answer: Yes or No (Select One)

Yes

I hereby grant VBS Staff and the Federation of Churches permission to copyright and use photographs/videos taken at VBS of the minor designated above in a manner or form for any purpose lawful at the time and appropriate for church use. I waive any right I may have to inspect or approve the finished product or write copy, that may be used in conjunction therewith, or the use to which it may be applied.

Photo Release (Yes or No)

Yes

Signature

Date Input

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