408 Pleasant Street
VACATION BIBLE SCHOOL – First Baptist Church of Manlius – 408 Pleasant Street, Manlius, NY 13104
The week of Monday, July 15 – Friday, July 19, 2019, 9-Noon. Registration forms are below.
July 15 – 19, 2019
9:00 a.m. to 12:00 p.m.
First Baptist Church, Manlius NY
408 Pleasant St., Manlius, NY 13104
Phone: 315-682-8941 www.firstbaptist-manlius.org
All children entering Kindergarten through Grade 6 (Fall 2019) are welcome. Registration is free. Church is handicapped accessible.
Name _______________________________________________ M _____ F _____
Street address _________________________________________________________
City ________________________________ State _______ Zip ______________
Home phone (_______)_________________ Cell phone (______)__________________
Email address ___________________________________
Child’s date of birth _______________ Age ____ Grade entering in Sept 2017_______
#1 ______________________________________ Phone _______________________
#2 ______________________________________ Phone _______________________
Allergies, dietary restrictions, or medical conditions ____________________________
Names of those allowed to pick up/take child from church premises _________________
Home church (if applicable) _________________________________________________
How did you hear about VBS? _______________________________________________
Please sign & date the release on the Authorization/Release form. Thank you.
We are pleased to offer FREE registration this year.
- No phone registrations, please; mail form to address above.
Authorization: In the event that I cannot be reached in an emergency, I hereby
give permission to the answering ambulance/and or hospital in compliance
with Onondaga County Health Regulations to hospitalize, secure proper treatment
for, and to order injection, anesthesia, or surgery for my named child on this form.
This form will be kept on file at The First Baptist Church of Manlius.
Child’s Name: __________________________________________
Signature of Parent/Guardian over 18 years old:______________________
Release for photos taken during Vacation Bible School:
____________ I DO give permission for my child’s picture to be taken for use in local
newspapers, church newsletters, website, etc. I agree to allow their name published
with the photo.
____________ I DO NOT give permission for my child’s picture to be taken for use in
local newspapers, church newsletters, website, etc.
Parent/Legal Guardian Name (print)
Parent/Legal Guardian Signature