{"id":1067,"date":"2023-06-03T14:44:27","date_gmt":"2023-06-04T01:44:27","guid":{"rendered":"https:\/\/ourfbc.org\/home\/?page_id=1067"},"modified":"2026-07-18T15:25:30","modified_gmt":"2026-07-19T02:25:30","slug":"fbcvbs","status":"publish","type":"page","link":"https:\/\/ourfbc.org\/home\/fbcvbs\/","title":{"rendered":"2026 VBS Registration"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-742\"><form id=\"wpforms-form-742\" class=\"wpforms-validate wpforms-form\" data-formid=\"742\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/home\/wp-json\/wp\/v2\/pages\/1067\" data-token=\"11c0791ae7ba96e297cb9f6207d62ed5\" data-token-time=\"1784607073\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-742-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_2\">Parent\/Guardian\/Adult&#039;s Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-742-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-742-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_3\">Parent\/Guardian\/Adult&#039;s Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-742-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-742-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_5\">Parent\/Guardian\/Adult&#039;s Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-742-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"Parent\/Guardian\/Adult&#039;s Phone\" required><\/div><div id=\"wpforms-742-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">How many total people from your household will participate in  In-Person VBS? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-742-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_12_1\" name=\"wpforms[fields][12]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_12_1\">1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_12_2\" name=\"wpforms[fields][12]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_12_2\">2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_12_3\" name=\"wpforms[fields][12]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_12_3\">3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_12_4\" name=\"wpforms[fields][12]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_12_4\">4<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_12_5\" name=\"wpforms[fields][12]\" value=\"5\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_12_5\">5<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_12_6\" name=\"wpforms[fields][12]\" value=\"6\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_12_6\">6<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_18-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Participant #1 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_18\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][18][first]\" required><label for=\"wpforms-742-field_18\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_18-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][18][last]\" required><label for=\"wpforms-742-field_18-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-742-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Age Group of Participant #1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-742-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_13_1\" name=\"wpforms[fields][13]\" value=\"5 years old and under\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_13_1\">5 years old and under<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_13_2\" name=\"wpforms[fields][13]\" value=\"6-8 years old\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_13_2\">6-8 years old<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_13_3\" name=\"wpforms[fields][13]\" value=\"9-12 years old\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_13_3\">9-12 years old<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_13_5\" name=\"wpforms[fields][13]\" value=\"13-17 years old \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_13_5\">13-17 years old<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_13_6\" name=\"wpforms[fields][13]\" value=\"18 years and older\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_13_6\">18 years and older<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_28-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Participant #2<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_28\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][28][first]\" ><label for=\"wpforms-742-field_28\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_28-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][28][last]\" ><label for=\"wpforms-742-field_28-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-742-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"37\"><label class=\"wpforms-field-label\">Age Group of Participant #2<\/label><ul id=\"wpforms-742-field_37\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_37_1\" name=\"wpforms[fields][37]\" value=\"5 years old and under\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_37_1\">5 years old and under<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_37_2\" name=\"wpforms[fields][37]\" value=\"6-8 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_37_2\">6-8 years old<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_37_3\" name=\"wpforms[fields][37]\" value=\"9-12 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_37_3\">9-12 years old<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_37_5\" name=\"wpforms[fields][37]\" value=\"13-17 years old \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_37_5\">13-17 years old<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_37_6\" name=\"wpforms[fields][37]\" value=\"18 years and older\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_37_6\">18 years and older<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_32-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"32\"><label class=\"wpforms-field-label\">Participant #3<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_32\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][32][first]\" ><label for=\"wpforms-742-field_32\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_32-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][32][last]\" ><label for=\"wpforms-742-field_32-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-742-field_36-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"36\"><label class=\"wpforms-field-label\">Age Group of Participant #3<\/label><ul id=\"wpforms-742-field_36\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_36_1\" name=\"wpforms[fields][36]\" value=\"5 years old and under\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_36_1\">5 years old and under<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_36_2\" name=\"wpforms[fields][36]\" value=\"6-8 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_36_2\">6-8 years old<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_36_3\" name=\"wpforms[fields][36]\" value=\"9-12 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_36_3\">9-12 years old<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_36_5\" name=\"wpforms[fields][36]\" value=\"13-17 years old \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_36_5\">13-17 years old<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_36_6\" name=\"wpforms[fields][36]\" value=\"18 years and older\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_36_6\">18 years and older<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_31-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Participant #4<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_31\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][31][first]\" ><label for=\"wpforms-742-field_31\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_31-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][31][last]\" ><label for=\"wpforms-742-field_31-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-742-field_35-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"35\"><label class=\"wpforms-field-label\">Age Group of Participant #4<\/label><ul id=\"wpforms-742-field_35\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_35_1\" name=\"wpforms[fields][35]\" value=\"5 years old and under\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_35_1\">5 years old and under<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_35_2\" name=\"wpforms[fields][35]\" value=\"6-8 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_35_2\">6-8 years old<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_35_3\" name=\"wpforms[fields][35]\" value=\"9-12 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_35_3\">9-12 years old<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_35_5\" name=\"wpforms[fields][35]\" value=\"13-17 years old \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_35_5\">13-17 years old<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_35_6\" name=\"wpforms[fields][35]\" value=\"18 years and older\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_35_6\">18 years and older<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_30-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Participant #5<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_30\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][30][first]\" ><label for=\"wpforms-742-field_30\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_30-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][30][last]\" ><label for=\"wpforms-742-field_30-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-742-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Age Group of Participant #5<\/label><ul id=\"wpforms-742-field_34\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_34_1\" name=\"wpforms[fields][34]\" value=\"5 years old and under\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_34_1\">5 years old and under<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_34_2\" name=\"wpforms[fields][34]\" value=\"6-8 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_34_2\">6-8 years old<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_34_3\" name=\"wpforms[fields][34]\" value=\"9-12 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_34_3\">9-12 years old<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_34_5\" name=\"wpforms[fields][34]\" value=\"13-17 years old \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_34_5\">13-17 years old<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_34_6\" name=\"wpforms[fields][34]\" value=\"18 years and older\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_34_6\">18 years and older<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_29-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Participant #6<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_29\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][29][first]\" ><label for=\"wpforms-742-field_29\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-742-field_29-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][29][last]\" ><label for=\"wpforms-742-field_29-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-742-field_33-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"33\"><label class=\"wpforms-field-label\">Age Group of Participant #6<\/label><ul id=\"wpforms-742-field_33\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_33_1\" name=\"wpforms[fields][33]\" value=\"5 years old and under\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_33_1\">5 years old and under<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_33_2\" name=\"wpforms[fields][33]\" value=\"6-8 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_33_2\">6-8 years old<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_33_3\" name=\"wpforms[fields][33]\" value=\"9-12 years old\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_33_3\">9-12 years old<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_33_5\" name=\"wpforms[fields][33]\" value=\"13-17 years old \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_33_5\">13-17 years old<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_33_6\" name=\"wpforms[fields][33]\" value=\"18 years and older\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_33_6\">18 years and older<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_21\">Medical Concerns, Food Allergies, Etc. For All Attendees (Explanation is listed below) <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-742-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/textarea><div class=\"wpforms-field-description\">If any participants have food allergies or medical concerns, please list ALL NAMES, along with the food allergies and medical concerns in this box. (list such items as bee stings, other severe allergies, hemophilia, diabetes, and heart disease, etc). If you have no allergies or concerns please put \"N\/A\" in the box. <\/div><\/div><div id=\"wpforms-742-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">Do we have your permission to photograph your child? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-742-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_40_1\" name=\"wpforms[fields][40]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_40_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_40_2\" name=\"wpforms[fields][40]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_40_2\">No<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_40_4\" name=\"wpforms[fields][40]\" value=\"Not Applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_40_4\">Not Applicable<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"41\"><label class=\"wpforms-field-label\">Do we have your permission use your child&#039;s photograph for the purpose of VBS promotion? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-742-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_41_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_41_2\" name=\"wpforms[fields][41]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_41_2\">No<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_41_4\" name=\"wpforms[fields][41]\" value=\"Not Applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_41_4\">Not Applicable<\/label><\/li><\/ul><\/div><div id=\"wpforms-742-field_44-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Medical Release Authorization (Description Below) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-742-field_44\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_44_1\" name=\"wpforms[fields][44]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_44_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-742-field_44_2\" name=\"wpforms[fields][44]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-742-field_44_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">In the event of an accident or illness, I understand that reasonable efforts will be made to contact the parent\/guardian immediately. However, if I am not available, I authorize representative of FBC-Chapel Hill to secure emergency medical care as needed. <\/div><\/div><div id=\"wpforms-742-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_45\">Name and Number of Doctor <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-742-field_45\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][45]\" required><\/div><div id=\"wpforms-742-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_46\">Name of Insurance Carrier <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-742-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" required><\/div><div id=\"wpforms-742-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-742-field_47\">The parent\/guardian\/participant signing this form understands and agrees that First Baptist Church of Chapel Hill, the operator of this Vacation Bible School Program, is not liable for injuries or losses except those resulting from violations of the state laws or gross negligence which may result from participation in this program. I hereby give consent for all participants listed on this form to participate and authorize First Baptist Church to seek medical release in the event it is needed, and not hold the church responsible for any liability. I, therefore, authorized everyone listed on this form to participate in the First Baptist Church VBS, August 5-7, 2026<\/label><input type=\"text\" id=\"wpforms-742-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" ><div class=\"wpforms-field-description\">(Electronic Signature): Please type your first and last name and date<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"742\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/pages\/1067\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-742\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"Please enable JavaScript in your browser to complete this form.Parent\/Guardian\/Adult&#039;s Name *Parent\/Guardian\/Adult&#039;s Email *Parent\/Guardian\/Adult&#039;s Phone *How many total people from your household will participate in In-Person VBS? *123456Participant #1 *FirstLastAge Group of Participant #1 *5 years old and under6-8 years old9-12 years old13-17 years old18 years and","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-1067","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/pages\/1067","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/comments?post=1067"}],"version-history":[{"count":7,"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/pages\/1067\/revisions"}],"predecessor-version":[{"id":1706,"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/pages\/1067\/revisions\/1706"}],"wp:attachment":[{"href":"https:\/\/ourfbc.org\/home\/wp-json\/wp\/v2\/media?parent=1067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}