VBS Registration Form - Memorial Baptist Church 2019
**My plan is to send out an email with your child's crew information so Day 1 goes much smoother. Once you get your email with crew information please make sure to have that with you so you can tell the registration ladies which crew your child(ren) are in.
**If you have any questions please contact the director Kylene Smithkin at smithkinfamily@gmail.com
June 17th-21st: Grades Pre-K through 5th grade. VBS is from 9am -12pm. SPACE IS LIMITED!!!
FIRST Name of Child *
Your answer
LAST Name of Child *
Your answer
Gender *
Age of Child *
Your answer
Grade they just completed *Please understand space is limited, if you do not see your grade (such as Pre-k, this means it is FULL) You are more than welcome to contact Kylene Smithkin for a waiting list *
Food Allergies (please be Specific) = example: Gluten free but we allow some gluten so he/she should be fine for VBS
Your answer
Parent/Guardian/Grandparent Name: (If you are a grandparent that is bringing them you may put your info) *
Your answer
Parent/guardian address: *
Your answer
Parent/guardian/grandparent email address: I will be sending out VBS information prior to that week so please put the email easiest to reach you! *
Your answer
Parent/guardian/grandparent phone number: *
Your answer
Emergency Contact Name: (can be the parent/Guardian/grandparent, OR just someone who is available that week in case of any emergencies) *
Your answer
Emergency Phone Number *
Your answer
Emergency Contact Relationship to child *
Your answer
How did you hear about our VBS? *
What church do you currently attend? (If you do not attend a church please put that you don't currently have a church) *
Your answer
CD's - I would like to purchase this years MUSIC CD. The cost is $8.00. These will be available starting on Tuesday June 18th during VBS. (*If you order please make sure to purchase them, they will be available at registration table with your name) *
Note from the VBS director: I am going to be sending out an email with the child's crew name the week before VBS. Please bring that info with you, so check in is quicker. Thank you, Kylene Smithkin, VBS Director *
If you realize after you register your child(ren) that they are unable to attend for any reason please contact me ASAP. We have limited space, so this could open a space for another child. Thank you for understanding.
I represent that I am the legal guardian of the child or children on this form and I hereby give Memorial Baptist Church the right and permission, with respect to photographs and videos taken of my child, or in which my child may be included with others, to use, re-use, publish and re-publish the same in whole or in part, severally or in conjunction with other photographs, in any medium and for any purpose whatsoever including illustration, promotion and advertising, and trade (excluding anything illegal or immoral). *
Required
Check In Procedure (PLEASE READY CAREFULLY): Everyone will go to the welcome desk to check in EVERYDAY. There will be two separate lines this year. If you were emailed with crew information please have that ready *
Check Out Procedure (PLEASE READ CAREFULLY) When you PICK UP your child(ren) please wait OUTSIDE the Sanctuary at the correct door according to your child's crew. Once VBS is over the crews will all proceed to a sanctuary door. Each color crew will be at a different door location, and the doors will be labeled. So if your child is in the black group you would find the door with the black sign and pick up your child from the crew guide, if you have more than one child you will need to go to different doors. PLEASE DO NOT ENTER THE SANCTUARY WHEN PICKING UP YOUR CHILD(REN), you are welcome to look through the windows to watch your child(ren). *** *****Preschool child(ren) can be picked up in the preschool nursery room. *
LIABILITY RELEASEI (we), the undersigned parent(s)/guardian(s) of child or children on form, a minor, do hereby authorize adult volunteers of Memorial Baptist Church as agent(s) for the undersigned, to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital. I further release from any liability Memorial Baptist Church, any of its ministers or leaders in the event of an accident in route, during and returning from the above mentioned event. *
Required
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