"Walking on Water - Building Faith by the Sea" 2019 VBS Registration Form
Please complete and submit this form to register your child for the 2019 Hallman Chapel VBS being held on the grounds of Chesley Lake Camp from July 8-12th.
Child's First Name *
Please type the first name that the child normally uses.
Your answer
Child's Last Name *
Your answer
Grade Completed (as of July 2019) *
Child's Age (as of July 2019) *
Your answer
Allergies *
If Yes, please provide information on the allergy
Your answer
Name of Parent(s)/Guardian *
Your answer
Relation to Child *
Your answer
Email Address *
Your answer
Mailing Address *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone Number *
This needs to be a phone number that reaches the emergency contact during VBS.
Your answer
Who will be picking up your child/
Only applies to children in Kindergarten, Grade 1, or Grade 2 classes.
Your answer
Picture/Video Permission *
I give permission for my child to appear in a picture or video for use with VBS only.
Release *
By submitting this form, I undertake and agree to indemnify and hold blameless Hallman Chapel, its volunteers, representatives and Board from and against any loss, damage or injury suffered by the particpant (the above-named child) as a result of being part of the activities of the Hallman Chapel Vacation Bible School (VBS), as well as any medical treatment authorized by the supervising individuals representing Hallman Chapel VBS. This consent and authorization is effective only when participating in or traveling to events of Hallman Chapel VBS. (Provide your name below)
Your answer
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