VBS 2019 Registration Form
Grace Point's VBS is August 5-9 for children ages 5 (entering Kindergarten) through those entering 6th Grade. Please use this secure form to registration your child.

Unlike previous years, this form will accept one child registration per entry. Registering each child separately will help us record your registrations more accurately, and help keep your kids safe upon drop-off and pick-up. We appreciate your attention and time in this process. Thank you!

We don't sell your information. This form is encrypted by 128-bit SSL encryption, to keep your information safe and secure.

We require that children under 13 years of age not submit personal information. In accordance with the Federal Children’s Online Privacy Protection Act of 1998 (COPPA), Grace Point does not knowingly collect personal information from children under 13.

Child Information
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Birth Date *
MM
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DD
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YYYY
School Grade as of **Fall 2019** *
Children must be age 5 by September 1, 2019. Grade level is as of FALL 2019.
Allergies/Special Information
if applicable
Your answer
Parent Information
Parent's Name *
Your answer
Address *
Your answer
State *
Your answer
City *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Home Phone Number *
Your answer
Cell Phone Number
Your answer
I am interested in being contacted about serving within VBS. I understand there will be safety clearances and other requirements to be able to help. *
Emergency Contact
In case we can't get a hold of the child's parent, who else should we call?
Full Name *
Your answer
Phone Number *
Your answer
Safety Information
We want to make sure your kids are safe and go home with the correct person. To ensure that happens, we'll need to know who is authorized to pick-up your child. Please provide the full name of each person you have authorized to do so.

When picking up your child, you or the authorized individual(s), may be asked to provide a photo ID for verification. Thank you for allowing us to partner with you for your child's safety.

Authorized Person(s) *
Please include their full name.
Your answer
General Information
Church Affiliation
If you attend a church already, which one?
Your answer
How did you hear about us?
Photo/Publicity Release *
I permit my child's photograph to appear on the Grace Point website, social media platforms or other publications for the church. I understand that my child's name will not be used with any photograph.
T-Shirts & CDs
T-Shirts and CDs are $6 each. If you purchase both, they are $10 for the two! Let us know if you'd like one or both by selecting your T-Shirt size below and the CD option. Payment is due at Check-In on Monday, August 5. Please make checks payable to "Grace Point."
POWER-UP T-Shirt Size
POWER-UP Audio CD *
Liability Waiver and Acknowledgement
Assumption of Risks: By signing below, I, the parent/guardian of the child listed above, acknowledge and accept the risks of any physical injury associated with participation in each of the activities during Vacation Bible School at Grace Point on August 5-9, 2019 (referred to as “the Activities”).

Release: To the fullest extent permitted by law, I release Grace Point Church, and any and all of its paid and volunteer staff, leadership, and other representatives (together referred to as “the GP Parties”) from any damages, losses, harm, or injuries to me or to my minor child while participating in the Activities, and I agree to release and not hold responsible the Grace Point Parties from any claims arising out of my own or my minor child’s participation in the Activities.

Treatment: I authorize the treatment of my minor child by a qualified, licensed medical professional in the event of a medical emergency which, in the opinion of the professional, may endanger life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. I agree to be responsible for all costs and expenses incurred in connection with such medical services rendered to my minor child based on this authorization.

Dispute Resolution: In the event that a dispute or conflict should arise that is related to the Activities, I understand that Grace Point believes that the Bible calls us to make every effort to live at peace and to resolve disputes with one another in private or within the Christian church (please see Matthew 18:15-20 and 1 Corinthians 6:1-8). So, I agree to seek the dispute’s resolution according to the biblical principles outlined by Peacemaker Ministries (Peacemaker.net), which means that it will be settled by biblically based mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure of the Institute for Christian Conciliation, a division of Peacemaker® Ministries (the complete text of the Rules is available at ICCpeace.com). Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. I understand that these methods shall be the sole remedy for resolving any controversy or claim arising out of my or my minor child’s participation in the Activities, and I waive the right to file a lawsuit in any civil court for such disputes, except to enforce an arbitration decision.

Prayer for Activities: By signing below, I also accept the responsibility and privilege to pray for the Activities before, during and after they occur since I understand that Grace Point believes that if we commit to pray, God hears and responds to our faithful prayers (please see Philippians 4:4-7; Colossians 4:2; and I Peter 3:12).

My Signature *
My typing my full name in the box below, I am acknowledging and agree to the statement above regarding assumption of risks, release, treatment, dispute resolution, and prayer.
Your answer
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