Vacation Bible School

First Presbyterian Church of Newport

A friendly place to grow in Christ and serve with joy!

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FPC VBS

registration insert word

Please submit a separate form for each child.

Your child will be dismissed only to parents/guardian listed on this registration form.

A release form is necessary to complete the application. This can be downloaded or signed at the church.

Parent/Guardian *

Email address *

Child's Name *

Birthdate *

Grade (Fall 2008) *

Street Address *

City/State/Zip *

Phone (home) *

Phone (cell) *

Home Church *

Food Allergies *

Medical concerns *

Emergency Contact and relationship to child *

Emergency Contact Phone *

Alternate Emergency contact and relationship *

Alternate contact phone *