First Baptist Church Columbus Georgia
Friday, May 26, 2017
Come Home to First Baptist
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Register your child's information below and submit
Print the medical release form and bring with you on Monday morning of VBS.  Your medical release
form must be notarized. 
  
Child Information:
Name(first & last): 
Birthdate:
Grade Just Completed:
Gender:
T-shirt size:
Food Allergies or Health Concerns:
 
Parent Information
Name(first & last):
Address, city state & zip:
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Emergency Contact person:
Emergency Contact phone:
Relationship to child:
Name of Home Church:
 
IMPORTANT: Medical Release Form (medical, emergency contact & photo release)
Although we do not foresee anything negative happening during the week of VBS, accidents do happen. For that reason, it is imperative that we have a NOTARIZED medical release form on file for your child’s safety.
Please print out the form below and return to First Baptist Church, 212 12th Street, Columbus, GA 31901 or bring with you the first day of VBS. It must be notarized before we can accept this form. If you do not have access to a notary we will have one available the first day of VBS. 
You, the parent or guardian, must SIGN this form in the presence of the notary. 
Again, your child’s safety is our upmost concern and the reason for this form.
 
Click here to download/print the medical/photo release form