Snowmass Chapel 2019 VBS Registration
July 8-11, 2019. 9am - Noon. Ages 3 (potty trained) - 9
Child's Last Name *
Your answer
Child's First Name *
Your answer
Nickname
Your answer
Male or Female *
Age *
Please enter your child's age as of July 8th, 2019
Your answer
School
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade *
2019 - 2020 School Year
Parent(s) Names *
Your answer
Address *
Mailing address, City, State, Zip Code
Your answer
E-mail *
Your answer
Cell Phone *
Your answer
Emergency Contact, Name & Phone *
Your answer
Can you receive texts? *
Required
Home Church *
Your answer
Photo Release *
I hereby grant Snowmass Chapel and all representatives and assigns of, the irrevocable and unrestricted right to use and publish photographs of my child/children, or photographs in which he/she/they may be included, for editorial, promotion, publication, advertising and any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. I hereby release the Photographer, Snowmass Chapel, and all legal representatives and assigns from all claims and liability relating to said photographs.
Required
Allergies/Medical Information *
Allergies, medical conditions, medicines currently being taken and other important information. PLEASE NOTE: due to the number and severity of food allergies, we will not be serving snack or giving food gifts from Sunday School this year.
Your answer
Pick-up preference
The following people have my permission to pick up my child
Your answer
Pick-up Restrictions
People who cannot pick-up my child:
Your answer
General Release *
By submitting you agree that you will keep the staff alerted to any changes, permanent or temporary, in my child’s medical condition and to include medications being taken. I understand that Snowmass Chapel is not responsible in case of injury or loss of property. I also understand that if medical treatment is required every effort will be made to contact me. However, if I cannot be reached, I give permission to the staff to secure the services of licensed medical personnel for my child and administer emergency medical attention and, if necessary, admit the child to the nearest hospital. I also understand that if it is necessary to dismiss my child during this event for disciplinary reasons, I am responsible to come and pick him/her up immediately or arrange suitable transportation home.
Required
Participation Fee
The cost to participate in VBS is $30 for the first child and $15 for each sibling. Please visit snowmasschapel.org and click "give" to complete your registration. *Scholarships are available upon request. Please check the box below if you are requesting a scholarship.
WE LOOK FORWARD TO HAVING YOU at Snowmass Chapel's Peak 22 Vacation Bible School!!! Love Up. Love In. Love Out.
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