Bridgewater Community Vacation Bible School
2019 Registration/Emergency Care Form.
Please Complete One Form For Each Child (If under 4, guardian needs to stay with child)
Child's Name (First and Last) *
Parent's Name(s) *
Home Phone
Cell Phone
Emergency Contact Number/Name/Relationship *
Date of Birth *
Last Grade Completed *
Allergies and Medical Conditions *
How did you hear about Bridgewater Community VBS?
I give permission for my child to participate in any or all activities led by the Bridgewater Community Church Bible School. *
If an emergency occurs and I cannot be contacted, permission is granted to take my child to the doctor or hospital at my expense. The medical staff is granted permission to provide the treatment necessary for the well-being of my child. *
I give permission for my child to be photographed or videotaped during the Bridgewater Community Church Bible School for the purpose of those photos/videos to be used in promotional material by the participating churches. I understand that my child’s name will not be included in any such material. *
Parent/Guardian name provided in this response confirms the information provided above is accurate. *
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