VBS Day Camp 2018 - June 25-29
Join us each day from 9am-noon to learn about being a hero for God.
Child's Name *
Please list each child's name you wish to register
Your answer
Date of Birth *
Please list each child's DOB
Your answer
Age (must be 4yrs old by 9/30/18) & Grade Completed *
Please list information for each Child. *Children will be assigned according to the age/grade that was just completed. (children must be toilet trained)
Your answer
Parent/Guardian *
Your answer
Address *
Your answer
Phone *
Your answer
Email *
Your answer
Emergency Contact(s) & Number *
Your answer
I would like information about helping with VBS.
My child has special needs or allergies - please list
Your answer
Consent for Photographs *
During VBS photographs and videos are taken of the children participating in various activities. These may be used on posters, bulletin boards or on the Chestnut Grove Baptist Church website. Do you give us permission to use your child's/children's photographs?
Required
Consent for Participation
By submitting this form I give my permission for my child(ren) to participate in the activities included in the Vacation Bible School program at Chestnut Grove Baptist Church (Hereinafter the "church") from 6/25/18 - 6/29/18.
Activities may include, but are not limited to: balancing ropes course, zip line, & games. I/we undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/we understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/ or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent.
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