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VBS 2025 Student Registration Form 
Hope Presbyterian Church and Christ Covenant Presbyterian Church will collaborate and be offering VBS this year! Space is limited to 50 children.  Registration will close when all spaces are filled.  Please register early.  

Date: Monday to Friday - July 07 - 11, 2025

Time: Every morning 9:00-12:00
(Sign-in 8:45 VBS 9:00 am - 12:00 pm)

Location - Hope Presbyterian Church 
4101 Sandy Plains Rd, Marietta, GA 30066

Age: Available for children from age 4 through rising 6th grade students at time of registration.

Deadline for Registration: June 30, 2025
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Full Name
*
Info about Your Child
(PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD)
Gender *
Date of Birth (mm/dd/yyyy)
*
School Grade (Grade completed in 2024-2025)
*
Preferred Contact Phone Number
*
Home Address
*
Food allergies, medical or health conditions (if any), any other information we need to know about your child
Info about the Child's Family
Mother's full name
Mother's cell phone
Father's full name
Father's cell phone
Preferred email contact
*
Important: registration confirmation will be sent to this email address.  
To complete registration, please check your email after you complete and submit this form for required payment information.
Guardian's full name
Guardian's cell phone
Parent's church background
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If "other," please enter the name of your church here:

Parental Consent and Liability Waiver

I hereby grant my permission for the above-named child to participate in the 2025 Vacation Bible School (VBS) hosted at Hope Presbyterian Church. I understand that all reasonable precautions will be taken to ensure the safety and well-being of the children. I agree not to hold Hope Presbyterian Church, its staff, volunteers, or representatives liable for any injury, illness, or mishap that may occur during VBS activities, regardless of the cause.

In the event that my child requires emergency medical attention and I cannot be reached, I authorize the VBS personnel to obtain such medical care as is reasonably necessary under the circumstances. I accept full responsibility for any and all medical costs that may be incurred as a result of such treatment.

I also grant permission for my child to be photographed and/or recorded during VBS activities, and for those images or recordings to be used in church-related materials, including but not limited to social media, newsletters, and promotional content.

Type your name as electronic signature to accept Parental Consent and Liability Waiver
*
In case of emergency, notify:
*
Emergency Contact Phone Number:
*
Child's Pediatrician Name and Number
Medical Insurance Name
Insurance Phone Number
Insurance Group Number
Insurance Policy Number
Thank you! Please submit your form ^^
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