"Kingdom Chronicles" Vacation Bible School 2017 - June 27th-June 29th (12pm-6pm)
Calvary Christian Church is excited to host an exciting 3 day VBS at the Shelby High School (1001 Valley Street) in Shelby, Montana! This event is for children ages 5-12 years old. Please complete the following registration information for each child. (Additional children may be added after submitting information for the first child.) This form is best filled out on a desktop or laptop computer-mobile devices may cause submission errors.
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name
Your answer
Address
Your answer
Phone Number
Your answer
Email
Your answer
Your Home Church (if any)
Your answer
EMERGENCY CONTACT
In case of emergency, who can we contact?
First & Last Name
Your answer
Relationship to child
(i.e. Father, Grandparent, Aunt, etc.)
Your answer
Emergency Contact's Phone Number
Your answer
ATTENDANCE
Is your child able to attend all 3 days of VBS
Required
If no, what days your child CAN attend?
Will the registering child need transportation?
Were you invited by someone to attend VBS?
If yes, please indicate their name below:
Your answer
CHILD INFORMATION
Name of Child
First & Last Name
Your answer
Date of Birth
Month/Date/Year - (Children Must be age 5-12 years old by June 27th.)
Your answer
Male or Female (check one)
Required
MEDICAL INFORMATION
Does Your Child Have Any Food Allergies
(i.e. Gluten, Dairy, Eggs, etc.)
Required
If yes, please describe below:
Your answer
Does your Child have any other allergies OR medical conditions
(i.e. Asthma, Diabetes, Seasonal Allergies, etc.)
Required
If yes, please describe below
Your answer
CONSENT & AGREEMENTS
Medical Consent
In the event that my child (listed above) becomes ill or sustains an injury at Calvary Christian Church’s VBS Program, I the undersigned, give my permission to the church and/or VBS staff to take whatever steps are necessary to stop any bleeding and to administer first aid. In the event that I cannot be reached, I consent to emergency treatment for my child, which may include emergency care, hospital care, and the administration of drugs or medicine to my child upon the advice of a duly licensed physician and/or surgeon. I will not hold the church, its staff nor its volunteers liable in the event of injury or illness involving my child except in the case of gross negligence.
Required
Permission for photography, video & recording
I give my permission for my child to be photographed, videotaped, and/or recorded for educational purposes, picture frame crafts, to use on bulletin boards, or in the VBS slideshows or the website while at Calvary Christian Church's VBS Program.
Required
PLEASE PRESS THE SUBMIT BUTTON BELOW
After you hit "SUBMIT" please scroll to the top of the this form and make sure you see the "Confirmation" message. You will also receive a confirmation email confirming your child is registered.

If you do not receive a confirmation email within 1 day (or are having trouble with this form), please email calvary.ngkids@gmail.com to ensure your information has been submitted. Thank You!

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