VBS Registration

Note: Each person must be registered separately.

Student's Name(Required)

First Last

Student's Age(Required)

Student's Gender(Required)

Male

Female

Allergy/Medical Conditions:

Parent's Name(Required)

First Last

Parent's Email(Required)

Parent's Cell #(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Does your child need transportation provided by Faith Baptist Church?(Required)

Please note that our transportation services are provided only in Woodford County, Kentucky.

Address to pick up child

Street Address Address Line 2 City State ZIP Code

Emergency Contact Name

First Last

Emergency Contact Phone

Emergency Contact Email

Persons other than parent authorized to pick up your child: