In The Wild VBS Registration
VBS Dates: Sunday, June 23 - Thursday, June 27, 2019
VBS Time: 6 PM to 8:30 PM (Check In begins at 5:30PM)
Address: Countryside Baptist Church - 1201 Noel C. Conaway Road - Guyton, GA. 31312
Contact us at (912) 728-3253 or pastorbill@churchforfamilies.com

***Please note: This is for children who have completed Kindergarten through 5th grade.***

Please list your children's full name and grade completed. For example: Noah Hill.....3rd *
Your answer
Parent's Names: *
Your answer
Address: *
Your answer
Parent's Email: *
Your answer
Contact Number: *
Your answer
Special Needs *
Our church cares for the success and safety of each participant inside our Kids Ministry. Does your child have an allergy, medical condition, learning difference, disability or any other special need of which our ministry team should be aware?
Your answer
Photo Video Policy
In accordance with our policy, we need your permission to include your child in any photographs and/or video that may be taken during the week of VBS. These pictures and/or video would only be used in conjunction with Vacation Bible School. Countryside Baptist Church has my permission to include my child, in any or all parts of video and/or pictures during the week of June 23rd--27th, 2019. I hereby grant the right and unrestricted permission to use the registrant’s name, likeness, image, voice, and/or appearance as such may be embodied in any photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Countryside Baptist Church or its partners. I agree that Countryside Baptist Church has complete ownership of such material and can use said material for any purpose consistent with the church’s mission. These uses include, but are not limited to, videos, publications, advertisements, news releases, Web sites, and any promotional or educational materials in any medium. I acknowledge that I will not receive any compensation for the use of such images, video, likeness, etc. I hereby release and discharge Countryside Baptist Church, and its agents, representatives and assignees from any and all claims and demands arising out of or in connection with the use of my name, likeness, image, voice and/or appearance, including any and all claims for invasion of privacy, right of publicity, misappropriation or misuse of image, and/or defamation.
If you agree, please give us your full name and date of acknowledgement: *
Your answer
Child Pick-Up Policy *
It is extremely important to us that your child is safe during the time that you leave them with us...so to ensure their safety we are asking that you PLEASE pick them up from the inside of the Main Worship Center each day where they will be waiting on you. We will not be sending your children out into the parking lot to find you. Please inform any persons who will be transporting your children during this week of VBS of this policy. Thank you for helping us to keep everyone safe!!
Required
Please list any names of people who are allowed to pick up your children in your absence: *
Your answer
Please list names and sizes of VBS t-shirts you would like to purchase: *
VBS t-shirts will be $10 each. Payment is due by Sunday, May 26, 2019. Shirts will only be ordered if payment has been received.
Your answer
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