VBS 2018 - Game On!

First Baptist Church Purvis

Child must have turned 4 years old

by September 1, 2017 to attend.

Child's Name

Parent/Guardian Name


(street address, city, state, & zip code)

Phone Number


Child's Birth Date

Last grade completed in school

(during the 2017-2018 school year)

Medical Information

Medical or other information we need to know. (Please include any food allergies.)

Emergency Contacts

Names & Phone numbers ( other than listed above)

Dismissal Information

Who may pick up your child at the end of each VBS day?

Does your child attend Sunday School? If so where?

If you child is visiting our church, who is he a guest of?

May we have permission to photograph your child?

May we have permission to use your child's photograph for the purpose of promotion?