VBS Registration: MONUMENTAL- Celebrating God's Greatness at Wellington Square United Church...in-person, Monday July 18-Friday July 22, 2022--9:00 a.m.-12:00 p.m. Ages 4-11 AND Junior Leadership for Grades 7-8, $45/camper (bursaries available)
VBS is open
Sign in to Google to save your progress. Learn more
Family Name *
Parent/Guardian Names *
Street Address *
City *
Postal Code *
Daytime Phone *
Evening Phone *
Cell Phone
Emergency Contact Information (provide name, phone number and relationship) *
Who has permission to pick up your child/children at the end of VBS each day? (please provide name, phone number and relationship) *
1st Child's Name *
Age *
Date of Birth *
MM
/
DD
/
YYYY
School Grade Entering in September *
Allergies/Medical Conditions/Anything we need to know:
2nd Child's Name
Age
Date of Birth
MM
/
DD
/
YYYY
School Grade Entering in September
Allergies/Medical Conditions/Anything we need to know:
3rd Child's Name
Age
Date of Birth
MM
/
DD
/
YYYY
School Grade Entering in September
Allergies/Medical Conditions/Anything we need to know:
4th Child's Name
Age
Date of Birth
MM
/
DD
/
YYYY
School Grade Entering in September
Allergies/Medical Conditions/Anything we need to know:
Does your family attend a church? If yes, please indicate church name
VBS Registration  Fee $45/camper-Please note that payment MUST be made in order for camper's spot to be reserved (Please indicate below): *
Required
I understand that all children who participate in the summer program do so at their own risk. RELEASE FORM - PHOTOGRAPHS - Photographs or video clips are often used by our summer program for promotional purposes. I consent to allow Wellington Square United Church to use photographs or video clips, where appropriate, in the advertising for its summer program. I understand Wellington Square United Church will take all reasonable effort to maintain the privacy and anonymity of all children. *
As a parent/guardian of the child/children provided on this form, I hereby give permission for the subject of this release to be involved in the overall activities of the Wellington Square United Church Child/Youth programs. I/We understand all reasonable safety precautions will be taken at all times by Wellington Square United Church and its agents during the events and activities. I/We authorize any treatment by an accredited hospital and/or physician deemed necessary for the subject of the release in case of an emergency. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk. I/We agree not to hold Wellington Square United Church, its leaders, employees, and volunteer staff liable for damages, diseases, or injuries incurred by the subject(s) of this form. *
By typing your name here, you are signing this registration form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this registration form. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy