Vacation Bible School 2019 Registration Form June 10, 2019 By Dan Gibson Leave a Comment VBS Registration 2021 Child's Name* First Last Child's Date of Birth* MM slash DD slash YYYY Age or Grade Last Completed*3 years old4 years old5 years oldKindergarten1st grade2nd grade3rd grade4th grade5th grade6th gradeT-Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXLAdult XXXLAny other info?Please list any other important information we need to know (medical, legal dismissal limitations, etc.):Parent/Guardian #1 Name* First Last Parent/Guardian #2 Name First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best Phone Number*Emergency ContactPlease list someone else we may contact in the event of an emergency, if we can not contact the above listed parent/guardian(s). First Last Emergency Contact Phone NumberPhoto and Video Release*I am aware that photographs or video may be taken of FBC Diamond during various events/activities. I give First Baptist Church of Diamond, MO and its representatives permission to use photographs or video that include my child in any and all media products for promotion, art, advertising, editorial or other purpose. Yes, I agree to the above stated photo release. No, I do not agree to the above stated photo release.