2024 | Fallbrook VBS Registration Form
June 10 through June 15, 2024 | Please fill out this form and click submit.
Join us for VBS 2024!
Event Email:
vbs@fallbrookchurch.org
Event Dates:
June 10th - 14th, 2024
Event Time:
6:30pm - 9:00pm
Event Location:
Fallbrook Church
Child's Name
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Birthday (MM/DD/YYYY)
*
Last Grade Completed (2023-2024 School Year)
*
Please select one option.
3yrs
4yrs
5yrs (Pre-Kindergarten)
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Select Option
3yrs
4yrs
5yrs (Pre-Kindergarten)
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Parents' Name(s)
*
Phone
*
Email
*
This address will receive a confirmation email
Address (Full Mailing Address)
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Preferred Name on Name Tag
*
Allergies, Medical and/or Special Needs (Type N/A if None)
*
Are you one of the following?
*
Please select one option.
Fallbrook Member
Reoccurring Visitor
First-Time Guest
Select Option
Fallbrook Member
Reoccurring Visitor
First-Time Guest
May we have permission to photograph your child?
*
Please select one option.
Yes
No
Of Course!
Select Option
Yes
No
Of Course!
May we have permission to use your child's photograph for the purpose of promotion?
*
Please select one option.
Yes
No
Of Course!
Select Option
Yes
No
Of Course!
Do you Follow Fallbrook Children's Ministry on Social Media?
*
Please select one option.
Yes
No
I'm Not Sure
Select Option
Yes
No
I'm Not Sure
Submit
Description
June 10 through June 15, 2024
Please fill out this form and click submit.
Join us for VBS 2024!
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