REGISTRATION FORM
One (1) form per Participant or Volunteer.
Big Sky Baptist Church VBS Registration
Camper, Youth, and Adult (Participant) Information
Are you registering as a: *
Name: *
Your answer
Gender: *
Age: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Grade just completed: *
Street Address, City, State & Zip Code: *
Your answer
Participant's Phone number (if Youth or Adult):
Your answer
Participant's Email Address (if Youth or Adult):
Your answer
Parent(s) Name(s):
Your answer
Parent(s) Phone Number(s):
Your answer
Parent Email Address:
Your answer
T-shirt Size *
Emergency and Medical Information
Are you currently using any medications during VBS? *
Your answer
Any allergies (food, stings, seasonal, etc.)? *
Your answer
Name of Emergency Contact(s): *
Your answer
Phone Number(s) of Emergency Contact(s): *
Your answer
Any additional medical concerns we should be aware of?
Your answer
By selecting "I agree," I, the parent or guardian, do hereby give my permission for my camper to receive emergency medical care should it become necessary for the welfare of my child. In addition, I release Big Sky Baptist Church and its representatives from any liability pertaining to this event. *
Daily Pick-up
I, (insert name below), will be picking up my camper each day from VBS. *
Your answer
I authorize (insert name below) to pick my child up from VBS.
Your answer
I grant my student permission to walk home from VBS in the event I will not be picking him or her up. *
Learning More
Are you a member of or are involved at church?
If so, where? (Church name and City)
Your answer
Would you care to learn more about Big Sky Baptist?
Are you (parent or guardian) interested in volunteering to assist with VBS?
How did you hear about Big Sky's VBS?
Permissions
By typing my initials, I, the parent of guardian of the above mentioned camper, grant him or her permission to participate in Big Sky Baptist's 2019 VBS. *
Your answer
I will allow or not allow Big Sky Baptist to use my child's image(s) take from pictures, footage, or other media in any promotional material for the 2019 VBS or any future Camp dates. *
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