Vacation Bible School Registration 2019

Parent/Guardian Information

Parent/Guardian Name

This address will receive a confirmation email

Phone Number

Alternate Phone Number

Address

Emergency Contact Information

First Name

Last Name

Phone

1st Child

First Name

Last Name

Allergies

Age/Grade

Please choose the grade your child is entering into for the fall 2019 school year.

2nd Child

First Name

Last Name

Allergies

Age/Grade

Please choose the grade your child is entering into for the fall 2019 school year.

3rd Child

First Name

Last Name

Allergies

Age/Grade

Please choose the grade your child is entering into for the fall 2019 school year.

4th Child

First Name

Last Name

Allergies

Age/Grade

Please choose the grade your child is entering into for the fall 2019 school year.

Terms of Agreement

Being the legal guardian of the minor named herein, I give permission for the minor to attend and participate in all vacation bible school sponsored events, activities, and outings, sponsored by Christ First Baptist Church between June 10th and June 16th, 2019 and relieves Christ First Baptist Church of all liability in the event of an accident. I hereby give Christ First Baptist Church and/or its sponsors the authority to secure any medical and/or surgical treatment for the minor that is determined necessary in the event of an emergency, sickness, or accident. I shall be liable and agree to pay all costs and expenses incurred in connection with all medical and dental services rendered to the aforementioned minor pursuant to this authorization. Should it be necessary for the minor to return home due to medical reason(s) or otherwise, I shall assume all transportation costs. I give permission for the minor’s picture to be used in church publications such as but not limited to: newsletters, social media, and the church’s website. All pictures used in church publications will not include the minor’s name or age.

If the above parent/guardian of the child(ren) listed in the form above agrees to the above terms please click

I AGREE

Vacation Bible School Registration 2019

Description

Please Fix the Following