SWCC VBS Registration K-3rd
VBS - Saturday, August 3rd. 9:00-2:30
Fill this out completely and submit to register your child for VBS. We will have on site registration but this will save you time. This is for going into Kindergarten this school year - going into 3rd grade. Drop off and Check-in begins at 8:30 am on Saturday, August 3rd and pick up is at 2:30 pm. Your child will enjoy music, crafts, Bible lesson and playtime. We will also serve lunch. It is very important you list any allergies for your child.
Child's First and Last Name *
Your answer
Child’s grade for upcoming school year *
Parent/Grandparent Name *
Your answer
Emergency Cell Number *
Your answer
Allergies (Please List all Allergies) *
Your answer
Anything else you would like to tell us about your child *
Your answer
By typing your name here as parent and/or guardian of Child listed above, I hereby give the said minor my express permission to participate in church-sponsored events and functions of Still Waters Cowboy Church at any time. In the event that arises an emergency necessitating emergency medical or surgical attention, I hereby consent and give permission to Still Waters Cowboy Church, or its representatives, and any attending physician to make such decisions and to perform such medical or surgical treatment upon aid minor, which in their sole discretion, may be reasonable and necessary under the circumstances. I, the undersigned parent and/or guardian of said minor, do release, acquit, discharge, and covenant to hold harmless the said Still Waters Cowboy Church or its representatives from an and all actions, damages, and/or liabilities arising out of the treatment of any sickness or accident incurred by said minor. It is the intention of this release that Still Waters Cowboy Church and its representatives incur no liability whatsoever while attending to the reasonable and necessary treatments, surgery, and other medical needs that may in their sole discretion be needed by said minor. Please type name below. *
Your answer
Please type your name releasing any pictures of your child from Day Camp to be used by Still Waters Cowboy Church. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service