Request edit access
'MAKER FUN FACTORY' Vacation Bible School 2017
Maker Fun Factory VBS is taking place from July 10-14 at Middleton Baptist Church!

Children ages 3-11 are invited to attend! 9:30am-12:00pm each day!

Come and enjoy Stories, Games, Crafts, Music, Missions Projects, Snacks and more!

Also, make sure to save the date for our VBS Celebration Service on Sunday, July 16th @ 10:00AM - Puppets, Songs, Certificates, BBQ and lots of fun with our VBS friends. Bring your entire family! :)

Child's First & Last Name
Your answer
Child's Age
Your answer
Gender
Grade Entering in Fall 2017
Name of Parent/Guardian
Your answer
Mailing Address
Your answer
City
Your answer
Province
Your answer
Postal Code
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Home Email Address
Your answer
Allergies/Health Concerns
Your answer
Health Card Number
Your answer
Health Card Expiry Date
Your answer
Emergency Contact
Your answer
Emergency Contact Relationship to Child
Your answer
Emergency Contact Phone Number
Your answer
Alternate Pick Up Name
Your answer
Alternate Pick-up Phone Number
Your answer
Waiver & Disclaimer Policy - Middleton Baptist Church
Precautions will be taken for the safety and heath of your child, but in the event of an accident or sickness, Middleton Baptist Church, their staff and volunteers are hereby released from any loss, personal injury, or damage to the named participant on this form or his/her property. In the event that your child requires medication, x-rays or treatment, the parent/guardian will be notified immediately. By signing below, you understand that participation in this Summer Camp is voluntary and that you accept the above waivers and conditions. *Your child must be covered by Provincial Health Insurance or equivalent medical insurance.
Required
Parent/Guardian Signature
Your answer
Date
Your answer
Photo Permission
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms