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Jamestown Baptist Church VBS 2018 registration form
June 18-22 (6-8pm)
Child's name *
Your answer
Parent/Guardian name *
Your answer
Address (street, city, zip code) *
Your answer
Phone number/s (specify if: work, cell, home) *
Your answer
email
Your answer
Child's birthday & last graded completed *
Your answer
Medical information (Any allergies or anything we need to know about medical condition?) *
Your answer
I give permission to the designated staff of Jamestown Baptist Church to take whatever emergency measure are judged necessary for the care and protection of my child while under their care and supervision. In case of emergency, I understand that my child will be taken to the nearest medical facility. I hereby release Jamestown Baptist Church (pastor, church staff and church volunteers) from any and all liability due to injury or illness, which may occur during my child's attendance and participation in summer events at Jamestown Baptist Church. VBS and summer events will occur indoors at the church and outside on church grounds. In addition, I understand that parents/guardians are responsible for all medical bills due to injury or illness. I will not hold Jamestown Baptist Church financially responsible for the emergency care and/or transportation of my child.
Emergency contacts (name and phone numbers) *
Your answer
Is your child riding the van home? (yes or no) If not, who will be picking them up? *
Your answer
Does your family attend church, if so, where? *
Your answer
Does the church have permission to photograph your child? And, does the church have permission to use your child's photo for promotion? *
Vacation Bible School is meant to be a time of fun and spiritual growth for children and youth of all ages. I understand that my child will be asked to obey directions and classroom instructions by church staff and volunteers. If a child becomes a disruption for the instruction and fun of other children; then I understand that they will not be picked up by the church van. Sign and date name below. *
Your answer
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