VBS 2020 Registration
June 8th-12th


Questions or concerns please feel free to contact Darlene Risjan at drisjan@stowalliance.org
Registration for Stow Alliance Fellowship VBS Program:
Parent Name (first and last name) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone number *
Your answer
Name of Emergency Contact (Other than Parent listed Above) *
Your answer
Phone Number of Emergency Contact *
Your answer
Preferred Doctor: Name and Phone Number *
Your answer
Preferred Hospital *
Your answer
Medical Release Statement
I/We, the parents or guardians named above, authorize the ministry staff of Stow Alliance Fellowship to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named below.
I/We, named above, undertake and agree to indemnify and hold blameless the ministry staff, of Stow Alliance Fellowship, its pastor(s), deacons, and elders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Stow Alliance Fellowship, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of Church.
Purposes and Extent:
Stow Alliance Fellowship is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our church. This information will be maintained permanently as it is a requirement of our insurance company and legal counsel. If you wish Stow Alliance Fellowship to limit the information collected, or to view your child’s information, please contact us.
I agree that pictures or videos of activities, that may include my child, might appear on the church website, Children's Ministry Facebook page, or in other church media. If at any time you wish to remove this authority please contact church office. *
Parent/Guardian Name
By typing my name here, I am stating I have read and agree to all the information above and I am the legal parent or guardian of the children listed below
Type Name: *
Your answer
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