VBS 2018 Registration - Shipwrecked
Join us at Calvary Bristol for five nights of adventure June 25-29 from 6:30 p.m. to 8:30 p.m. Please fill out one form for each child who will be attending VBS. Please note that children in Pre-K are welcomed this year but they must be at least 4 years old.
Child Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Street Address *
Your answer
Parent/Guardian First and Last Name *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Contact Phone Number *
Your answer
Child's Birthday *
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Child's age by June 20 *
Last school grade child COMPLETED *
Gender of child *
Medical Information
Does your child have any health issues, physical limitations, medical conditions or behavioral needs that may impact or limit their participation in VBS activities? *
If yes, please specify so we can best assist your child
Your answer
Does your child have any allergies or diet restrictions? *
If yes, please specify
Your answer
Additional Special Instructions
Your answer
Emergency contact name during hours of VBS *
Your answer
Emergency contact phone number during hours of VBS *
Your answer
Emergency contact relationship to child *
Your answer
Additional Information
How did you hear about Calvary's VBS program? *
Required
Are you looking for a church home? *
Photo Release
By signing this form I understand that my child may be photographed for the use of Calvary Baptist Church Bristol. I give permission to copyright, use and publish the photographs for any lawful purpose including, but not limited to, church publications and the church website.
Medical Release
By signing this form I release adult supervisors and Calvary Baptist Church Bristol from responsibility for accidents during church sponsored activities. In case of emergency, I, the parent/legal guardian of the above mentioned minor, give permission to the adult sponsors of Calvary to secure proper treatment for the health and comfort of my child until I can be reached.
Parent/Guardian e-Signature (please enter your name) *
Your answer
Date Signed *
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