Vacation Bible School Registration (2019)
Email address *
Child's Name *
Your answer
Child's Age *
Your answer
Child's Gender *
Your answer
Name of Parent/ Guardian *
Your answer
Contact Information
Address *
Your answer
Home/ Cell Phone *
Your answer
Work Phone *
Your answer
Allergies/ Special Considerations
Your answer
Emergency Contact
Name of Contact *
Your answer
Phone Number *
Your answer
Relationship to Child *
Your answer
Doctor's Name *
Your answer
Health Card Number *
Your answer
Who is allowed to pick up your child? *
Your answer
Photos
We use photographs to publicize church activities and provide feedback to donors who sponsor events.
Do we have permission to post your child's photo? *
Signature
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge and you consent to your child's participation in the Vacation Bible School.

As well, I undertake and agree to indemnify and hold blameless the ministry staff, volunteers, The Christian Centre, its pastors and Board of Elders and Go & Tell the Word Ministries from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of The Christian Centre, as well as of any medical treatment authorized by the supervising individuals representing the The Christian Centre. This consent and authorization is effective when participating in events of The Christian Centre, on or off-site.
Initials *
Your answer
A copy of your responses will be emailed to the address you provided.
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