Vacation Bible School, June 22-26, 2009

        
Please complete the form below and click the "submit" button - you will be presented with a confirmation message when the form has been sent to our offices.  If you have any questions, you can email the Director, or contact the Church Office.

Phone Number Notice:

You have two options for formatting your phone number:
1. (703) 451-1500
2.  703-451-1500 (no spaces)

If you do not format the number correctly, a red asterisk will appear beside the field, and you will not be able to submit the form.

Terms

I give permission for the child(ren) listed below to attend Vacation Bible School at First Baptist Church, Springfield, VA.  I give my permission for VBS staff to administer basic first aid in the event of an injury.  I understand that the VBS staff will contact emergency services in the event of a significant injury.

The math problem at the end of the form is an anti-spam feature, and you must answer the question to submit the form.

      
Note:  if you are not redirected to another page confirming your registration, then your information has not been submitted.  Make sure all of the required fields have information in them.  Contact the Church office if you are having trouble with this form.