2024 Vacation Bible School at Calvary Chapel
Event Timing: June 23-26, 6PM-8PM each evening (Family Night on the 26!) 

Event Address: 2165 E Main Street, Danville, IN 46122

Contact us at (317) 745-7199 or dwmckinney@firmlyplanted.cc
Sign in to Google to save your progress. Learn more
Below, list the first and last names of all children who will be participating in VBS (MUST BE AT LEAST 4 YEARS OLD).  Next, list the gender and current age next to each child's name.  

Example:  John Doe - Male, 5
Below, list the first and last name of each legal guardian followed by the legal guardian's cell number.

Example: Jane Done - 317-918-0003
Below, provide the email of the legal guardian who is best to report further VBS info.   *
Below, list the first and last name of at least one emergency contact other than the child(ren)'s legal guardian.  You may list more than one.  

Example:  John Doe - 317-876-8765
Below, please list the first and last names of any other adults, outside the child(ren)'s legal guardians, who have permission to pick up your child(ren).  

Example: Jim Doe, Joy Doe, Jill Doe
Below, please let us know if your child(ren) has/have any allergies, dietary restrictions, and/or special needs. Please make sure to identify the name of the child in your description.  
PHOTO RELEASE: Calvary Chapel of Danville has my permission to use my or my child’s photograph publicly to promote the church and/or VBS. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of use. *
RELEASE OF LIABILITY AND AUTHORIZATION OF ELECTRONIC SIGNATURE: I agree to my son(s)/daughter(s) participating in VBS at Calvary Chapel of Danville and the activities run by the Calvary Chapel team. I understand that every care will be taken to ensure the health, safety and welfare of my child.  The undersigned hereby assumes all risk of injury or harm as a result of the activities specified in the VBS description and agrees to release, indemnify, defend, and forever discharge the releasee from all liability, claims, demands, damages, costs, expenses, and causes of action due to death, injury, loss, or damage to the undersigned.  I also consent to the authorization of my electronic signature.  By clicking "yes" below, I fully agree to the terms laid out in the description above.  *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Calvary Chapel of Danville. Report Abuse