FBC MAGNOLIA - VBS 2026
JUNE 16-19 | 9AM - 12PM | Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Last Grade Completed
*
Please select one option.
Pre-K (2 yrs before student starts Kindergarten)
Kindergarten
1st
2nd
3rd
4th
5th
Select Option
Pre-K (2 yrs before student starts Kindergarten)
Kindergarten
1st
2nd
3rd
4th
5th
Parent's Name
*
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Allergies?
Emergency Contact Name
*
Emergency Contact Number
*
Do we have permission to photograph your child and use photos in print publications, online publications, presentations, websites, and social media??
*
Please select one option.
Yes
No
Contact Information:
If you have any questions regarding:
Preschool -Amanda Cornwell 870-914-9531
K - 5th Grades -Ahna Farrar 870-904-8536
VBS Registraton Questions - Cindy Nix 870-904-8326
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JUNE 16-19 | 9AM - 12PM
Please fill out this form and click submit.
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