Reformed Baptist Church VBS Registration
644 Allentown Rd, Franconia PA
(215) 723-5979
rbcfranconia.org

June 24-29, 2018 ~ 6:30-8:45 PM

Camp Moose on the Loose - Discovering God's Forever Forgiveness
Child's First Name *
Your answer
Child's Last Name *
Your answer
Mailing Address *
Street
Your answer
Mailing Address *
City, State, Zip code
Your answer
Age your child will be on June 24, 2018 *
Your answer
Home Church, if any
Your answer
Gender *
Grade entering in the Fall *
KINDERGARTEN -must be 5 years old by 8/31/18 (PRE-K is FULL)
Parent/Guardian's Full Name *
First and Last name
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Phone Number *
Best number to contact you during VBS in case of emergency
Your answer
Emergency contact information *
Name, Phone #
Your answer
In addition to those listed above, the following people have permission to pick up my child from VBS.
Name
Your answer
Allergies or health concerns
Your answer
Photo release *
Permission and Release *
My son/daughter has my permission to attend and participate in Vacation Bible School at Reformed Baptist Church of Franconia from June 24-29, 2018. I give my permission for the Bible School staff to obtain emergency medical care on behalf of my son/daughter if the need arises. I understand that every attempt will be made to reach me in the event of an emergency. I give the VBS staff permission to give first aid to my child as needed. I give the physicians and nurses of the responding hospital my permission to begin emergency treatment on my child if the need arises and I am unreachable by phone. The emercency numbers to be called are those listed above. I hereby release Reformed Baptist Church of Franconia and its affiliates from any liability associated with my child's participation in Vacation Bible School.
KICK-OFF PICNIC!
Sunday, June 24 at 5:30 PM you and your family are invited to our kick-off picnic before VBS begins that night. Please indicate how many in your family will be attending. You only need to enter this on one registration per family.
Your answer
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