Amped VBS Registration 2018
Faith Church Presents: Amped VBS - July 22-25 (Sun-Wed) 6pm-8:30pm - Ages 4 yrs-5th Grade (Just Completed)

At VBS, through engaging presentations and hands on stations, kids will discover that God wants us to live our lives fully alive because we can believe that what He says is true.

Pre-registration is June 24 - July 19 and it is totally FREE.

Head of Household or Guardian *
Your answer
Spouse if Available
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Person Responsible if different than Parent
Your answer
Zip *
Your answer
Phone (During VBS) *
Your answer
E-mail
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number (During VBS) *
Your answer
How did you first hear about our VBS program? *
Child 1 Information
Child 1 - Last Name *
Your answer
Child 1 - First Name *
Your answer
Child 1 - Grade Entering This Fall *
Child 1 - Birthday (mm/dd/yyyy) *
Your answer
Child 1 - Behavioral/Medical Information *
Does your child have a need that our ministry team needs to be aware of? Please check the correct response and explain in the other category.
Child 1 - Behavioral/Medical Explanation
Please give additional information here.
Your answer
Child 1 - Special Friend Request
If you NEED your child to be with a specific friend, that must be set-up during this registration process, before room assignments are made, NOT on the first day of VBS. Please enter one name here if this is a need. (Friend must register separately.):
Your answer
Child 2 - Information
Leave blank if only registering one child and scroll down to the bottom of the page.
Please complete the liability release section.
Then press submit to complete the registration process.
Child 2 - Last Name
Your answer
Child 2 - First Name
Your answer
Child 2 - Grade Entering This Fall
Child 2 - Birthday (mm/dd/yyyy)
Your answer
Child 2 - Behavioral/Medical Information
Does your child have a need that our ministry team needs to be aware of? Please check the correct response and explain the nature of the condition in the next question.
Child 2 - Behavioral/Medical Explanation
Please give additional information here.
Your answer
Child 2 - Special Friend Request
If you NEED your child to be with a specific friend, that must be set-up during this registration process, before room assignments are made, NOT on the first day of VBS. Please enter one name here if this is a need. (Friend must register separately.):
Your answer
Child 3 Information
Leave blank if only registering 2 children.
Scroll to the bottom of the page and complete the liability release section.
Then press submit to complete registration.
Child 3 - Last Name
Your answer
Child 3 - First Name
Your answer
Child 3 - Grade Entering This Fall
Child 3 - Birthday (mm/dd/yyyy)
Your answer
Child 3 - Behavioral/Medical Information
Does your child have a need that our ministry team needs to be aware of? Please check the correct response and explain the nature of the condition in the next question.
Child 3 - Behavioral/Medical Explanation
Please give additional information here.
Your answer
Child 3 - Special Friend Request
If you NEED your child to be with a specific friend, that must be set-up during this registration process, before room assignments are made, NOT on the first day of VBS. Please enter one name here if this is a need. (Friend must register separately.):
Your answer
Child 4 - Information
Leave blank if only registering 3 children.
Scroll to the bottom of the page and complete the liability release section.
Then press submit to complete registration.
Child 4 - Last Name
Your answer
Child 4 - First Name
Your answer
Child 4 - Grade Entering This Fall
Child 4 - Birthday (mm/dd/yyyy)
Your answer
Child 4 - Behavioral/Medical Information
Does your child have a need that our ministry team needs to be aware of? Please check the correct response and explain the nature of the condition in the next question.
Child 4 - Behavioral/Medical Explanation
Please give additional information here.
Your answer
Child 4 - Special Friend Request
If you NEED your child to be with a specific friend, that must be set-up during this registration process, before room assignments are made, NOT on the first day of VBS. Please enter one name here if this is a need. (Friend must register separately.):
Your answer
2018 VBS LIABILITY RELEASE AND PHOTOGRAPHY / VIDEO AUTHORIZATION *
In the event of an emergency, I understand that all will be done to contact me or the emergency contact named above. However, if neither can be reached, I give full permission to a representative of Faith Church to seek medical attention in my absence for the children registered on this form. I also hereby assume all risk, known or unknown, for the children registered on this form, in connection with their attendance and participation in Vacation Bible School at Faith Church. I acknowledge that participation in Vacation Bible School at Faith Church is voluntary and therefore I FULLY RELEASE and discharge Faith Church, its pastors, employees, directors, and volunteer workers, from any and all liability in connection with any activities carried on at Faith Church in the Vacation Bible School program. I further acknowledge that any children registered on this form, as participants in Vacation Bible School at Faith Church, may be photographed or captured on video during the Vacation Bible School program and activities. I hereby grant full permission to Faith Church to use photographs or videos-in print, electronic, online, or other public media-of the children registered on this form and further release Faith Church from any and all liability connected with the authorized use of words and image of the children registered on this form.
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