User Log On
New Jersey First Chinese Baptist Church of Edison
VBS 2019 on-line Pre-Registration Form
Child's Last Name*
Child's First Name*
Child's Age*
Child's Date of Birth
last grade completed
Medical Information: Medical or other information we need to know.
Please list any food allergies:
Parent/Guardian Name*
Address - Street
Address - City
Address - zip code
Address - State
Home Phone*
Work phone
Cell phone*
e-mail address
Emergency Contact (1): Name & Phone Number
Emergency Contact (2): Name & Phone Number
Does your child attend Sunday school?
Yes No
If yes, which church does your child go to for Sunday school?
If you are visiting our church, whom are you a guest of?
Who may pick up your child at the end of each evening?*
Will your child attend all 4 days of VBS?
Yes No
if no, will he/she attend Wednesday evening?
Yes No
if no, will he/she attend Thursday evening?
Yes No
if no, will he/she attend Friday evening?
Yes No
if no, will he/she attend Saturday?
Do we have permission to take photos of your child during VBS for any lawful purpose, including for example such purposes as publicity, illustration, future VBS promotion, and Web content?
Yes No