Please Fill Out the Form Below to Register for Our BIG Summer Kids' Event.  
One Form Per Child Please. Thanks!
French Broad Baptist Church
2018
REGISTRATION FORM
Child's Name
Date of Birth       
Age as of 6/2018
Last Grade Completed
Parent/Guardian Names(s)
Address, City, St., Zip
Mailing Address (if different)
Phone: Home/Work/Cell
E-mail
Medical Information: Please
list any known allergies, or
special medical conditions we
need to be aware of.
* Please plan to provide any medical
information at check-in that we need
to be aware of including allergies, or
special conditions.  Thank you.
DISMISSAL: Who may pick
your child up each day?
Emergency Contact Name
and Telephone
(Must be available during
SPLASH!
If visiting our church, who
invited you?

Church you attend, if any?
May we have permission to
photograph your child?
Yes
No
May we have permission to
use your child's photo in
church publications or
promotions?
Yes
No
How did you hear about us?  
Newspaper, Radio, Flyer, Mail,
Drive-by, Invitation, Member, etc.
* * * REGISTER NOW! * * *

By registering your child you give permission for your child to get
WET and EXTREMELY MESSY.
Your child must wear rubber soled shoes such as water shoes or           
aqua socks.
ABSOLUTELY NO FLIP FLOPS WILL BE ALLOWED.
Children must also wear clothing suitable for getting wet.
Children will be dismissed from outside rear of church only.
Please plan to park in front parking lot and walk around church to rear.

Parent Signature: (Typed is permissible online)  
It's Not Your Ordinary
VBS!

Monumental Worship!
Monumental Fun!
Monumental Change!

French Broad Baptist Church
182 Grandview Lane
Hendersonville, NC 28791
Phone: 828-891-4665 - Fax: 828-891-1553
E-mail: fbbapt@bellsouth.net
Web: www.frenchbroad.org

S.P.L.A.S.H.
Showing People Love and
Sharing Him.

For Ages 3 Through 5th Grade
(Nursery for Babies and Toddlers
provided for VBS Staff Only)


Tuesday, Wednesday, & Thursday
June 12, 13, & 14, 2018
6:00 to 8:00PM



Kemuel Pruitt, Pastor
Henry Styron, Associate Pastor
Linda Boyle Smilth, Music Minister
S.P.L.A.S.H. Directors
Kai Calabro
Kathy Engheta
Pam Gabler
Janet Rhodes
French Broad Baptist Church
S.P.L.A.S.H.
June 12, 13, & 14, 2018
6:00 to 8:00 PM