Vacation Bible School
Central Valley Baptist Church
July 8-12, 2019
9:00AM - 12:00PM
600 N. Ten Mile Rd. Meridian, ID 83642
Contact us at (208) 888-4189 or office@centralvalleybaptist.com
Registration Information
Our VBS is for children age 3 through 12 as of July 1, 2019. The 12 year olds will be off-site for a special VBS time together. Childcare for ages 0-2 is provided for families working in VBS. We will be using a secure check-in system with child and parent receiving matching tags. Parents will need to show their tag to have a child released to them. Please complete the form below for each child you are registering. Register as early as possible, as space is limited for 3-5 year olds. You can also register at the door during VBS.
Child's First and Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Child's Age as of July 1, 2019 *
Allergies or medical conditions we need to be aware of
Your answer
Parent / Guardian Name(s) *
Your answer
Parent / Guardian Phone(s) *
Your answer
Address (please include city and zip) *
Your answer
Email *
Your answer
Church your family attends (if any)
Your answer
Person(s) authorized to pick up child (other than listed above)
Your answer
Emergency Contact
Your answer
Emergency Contact Phone
Your answer
Emergency Medical Release
By entering my name below and as a parent/guardian of the above child, I do hereby authorize treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to contact me.
Name of Parent/Guardian *
Your answer
Date *
Your answer
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