Twists & Turns VBS June 12-16, 9-11:30 am Ages 4-12 Registration Form Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastGender *MaleFemaleBirthdate *Grade Completed *PreschoolKindergarten12345Has Not Started SchoolAddress *City *State *Parent/Guardian *Email *Phone Number *Emergency Contact *Relationship to Child *Who can pick up your child? *Phone Number *Name of home churchFood Allergies *YesNoPlease list food allergies Medical concerns *YesNoPlease list medical concernsChild's Name *I hereby grant permission for First Baptist Church Rochester to record sounds, images, or video of my child while attending this VBS program. I also grant permission for First Baptist Church Rochester at its sole discretion, to use these sounds, images, or video in publications (including print, website and social media platforms) owned by First Baptist Church Rochester in relation to this VBS program.Parent/Guardian Signature *Date *Submit