First Presbyterian Church
1001 S. Rankin Street
Edmond, OK  73034
405.341.3602  |
Welcome to the Vacation Bible School (VBS) registration form. This event is hosted by First Presbyterian Church of Edmond from 9am-11:45am from July 16-19th (M-TH) at 1001 S. Rankin Street in Edmond and is a community-wide ministry for children ages 4 years through fourth grade. This event has a variety of special activities for all ages.There is a $6.00 cost to provide your child with a fantastic t-shirt!
We will be collecting full-size toiletries for Project 66. As you shop, please put a little extra in your basket. We are asking for soap, toothpaste, deodorant, shampoo and conditioner. 
Please opt-in for our text service to receive important information about your VBS experience. Just copy and paste the following link into your browser and follow the instructions to be added
Please contact Jean Wellfare, Kids Ministry Director,
at 341.3602 ext. 126 if you have any questions.

Participant #1 Information


Participant #2 Information


Participant #3 Information


Participant #4 Information


Food Allergy Alert

Parent Contact

Relationship to Participant: *

Authorization To Treat

If First Presbyterian Church of Edmond staff is unable to reach the parent/guardian AND the emergency contact person noted on this form, I do hereby consent to any medical care and the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child are under the care of First Presbyterian Church of Edmond in case of emergency. I understand and consent to allow my child to be transported to the nearest hospital or urgent care facility for the appropriate treatment by church staff and/or volunteers.
Please select a consent option below. *
Relationship to Participant: *

Photo & Video Release

By selecting I AGREE below, you grant First Presbyterian Church of Edmond and/or its representatives ownership and use of photographs, video, voice, recording, statements, and likenesses of my children for the purposes of promotion, public relations, marketing, social media, media, training, community relations, and/or advertising without restriction as to frequency, manner, and duration of use, without compensation to me.
For media stories, I understand that First Presbyterian representatives bear no responsibility for the contents of any news media coverage in which your children are included as a result of these interviews, photographs, audio, or video.
Since participants in this event are minors, by selecting I AGREE I certify that I am of full age and have every right to contract for the individuals whom I'm registering for the purpose(s) described.
If you wish to exclude registered participants from all photography, video, and audio captured at this event, please select I DECLINE below.

How did you hear about VBS at FPCE?

(check all that apply)


Please select below how many children you have registered. Each t-shirt is $6.00.
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