PEACE LAB Vacation Bible School Registration Form
We are so glad that your children, ages 3 through 5th grade would like to attend PEACE LAB VBS at Creekwood, June 25-29! Please fill out this form, providing the information requested below to help us ensure that your child has a fun, safe, and meaningful experience. We're excited to spend the week with you!
Participant's Age or Last Grade Completed:
Participant's T-Shirt Size:
Parent or Guardian's Name(s):
What email address is best to contact you?
What phone number is best to contact you?
Emergency Contact Information:
Please provide name, relationship, and phone number for an emergency contact.
Please list any allergies, medical issues, or medication considerations that our volunteer staff needs to be aware of:
How did you hear about PEACE LAB VBS?
Photo Release and Licensing Agreement
Do you give Creekwood Christian Church permission to use you or your child's name, likeness, or image in any printed or electronic material for the purpose of documenting, reporting, and promoting Interfaith Summer Camp?
Please select a reply from the choices below.
Yes, I give my consent.
No, I do not give my consent.
By checking the box below, the undersigned adult, parent, or legal guardian agrees to indemnify and hold harmless Creekwood Christian Church, as well as our directors, volunteers, participants, and all persons connected herewith, from all actions, causes of actions, suits and any claims, demands, and liabilities whatsoever, both in law and equity. The terms hereof shall be binding on any and all executors, heirs, administrators, and assigns, and shall serve as an assumption of risk and general release for the above-named participant while participating in this event.
I have read, acknowledged, understood, and consented to the foregoing statement.
Are you interested in serving as a volunteer for PEACE LAB?
To complete this form, please type your name in the field below, to serve as your digital signature.
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