SHINE Registration | First Baptist Church of Windsor

Name (Required)

Email Address (Required)

Your Phone Number (Required)

Parent or Guardian Phone Number

Emergency Contact (Required)

In the event of an emergency, who do we contact? Phone number?

Name of Child? (Required)

Name of Child being registered?

Allergies or Medical Info (Required)

Any food or other allergies or medical information that we need to know for the above name child?

Birthday (Required)

Date of Birth for the above-named child?

Your Address (Required)

Physical and mailing address where the child resides normally?

Will the child need transportation to and from VBS? (Required)

Solve 2 + 3 = ?

First Baptist Church of Windsor