VBS Registration

If you are registering more than one child, please fill out a separate form for each. Shortly after you click the “Submit” button you will be taken to a summary page. At that time you will know your form was received, also at that time you may go back and register your other child. Please click the submit button only one time per form to prevent duplicate entries.

[contact-form to=’vbs@dunbarfirstbaptist.org’ subject=’Vacation Bible School 2017′][contact-field label=’Name of Child’ type=’name’ required=’1’/][contact-field label=’Name of Parent/Guardian’ type=’text’ required=’1’/][contact-field label=’Phone Number of Parent/Guardian’ type=’text’ required=’1’/][contact-field label=’Contact Phone Number’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’/][contact-field label=’Mailing Address’ type=’textarea’ required=’1’/][contact-field label=’What Days Will Your Child Attend’ type=’checkbox-multiple’ required=’1′ options=’Day 1 July 16,Day 2 July 17,Day 3 July 18,Day 4 July 19,Day 5 July 20,All Days’/][contact-field label=’Grade Child Will Be Entering 2017/2018 School Year’ type=’text’ required=’1’/][contact-field label=’Date of Birth’ type=’text’ required=’1’/][contact-field label=’Allergies/Medical Issues. If None Please State %26quot;None%26quot;’ type=’textarea’ required=’1’/][contact-field label=’Do You Need Transportation’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’Do You Regularly Attend Church?’ type=’radio’ options=’Yes,No’/][contact-field label=’If You Currently Attend Church, What is the Name of Your Home Church?’ type=’text’/][contact-field label=’No Cost VBS T-Shirt For Children and Adults’ type=’select’ options=’Choose Size,Youth Small,Youth Medium,Youth Large,Adult Small,Adult Medium,Adult Large’/][/contact-form]