VBS 2017 Child Registration
Welcome to registration for Vacation Bible School (VBS) 2017 at Chinese Grace Bible Church! We would love to have you join us at Slingshot Ranch, where adventure meets courage!
Child's Information
Last Name of Child
Your answer
First Name of Child
Your answer
Middle Initial
Your answer
Last Grade Completed
VBS is open to Pre-K (4 years old by July 1) to kids who have just completed 6th grade
Date of Birth
MM
/
DD
/
YYYY
Street Address
Your answer
City of Residence
Your answer
Zip Code
Your answer
Where does the child normally attend church?
How often does the child attend church?
Please list the allergies the child has below:
Your answer
Parent/Guardian Information
First Name
Your answer
Last Name
Your answer
Relationship to the Child
Your answer
Contact Phone Number
Enter phone number as: xxx-xxx-xxxx
Your answer
Contact Email
You will not be added to any mailing lists, will only be used for VBS related updates and a confirmation you have registered.
Your answer
Name of other Parent or Guardian
This person is also allowed to pick the child up at the end of the program each night.
Your answer
Contact Phone Number for other Parent or Guardian
Enter phone number as: xxx-xxx-xxxx
Your answer
How did you hear about our VBS program?
Additional Comments for the Staff
Your answer
Please read and agree with the following statements:
I agree to direct my child to cooperate and to follow directions and instructions of the adults and/or staff supervising the event, whether they be paid or volunteer workers of Chinese Grace Bible Church (CGBC). I also acknowledge that the program will conducted in english and my child is comfortable communicating in english.
Required
Should it be necessary for my child to have medical treatment while participating in this event, I hereby give CGBC to use their judgments in obtaining medical services for the child. I also give permission to the physician or medical personnel selected by CGBC to render medical treatment deemed necessary and appropriate by the physician or medical personnel. I also understand that CGBC does not have individual medical insurance coverage for injury or life and I will assume full responsibility for all medical expenses incurred, either personally or through my own insurance coverage.
Required
All persons attending Vacation Bible School (VBS) are deemed to have waived all claims against CGBC and its paid or volunteer workers for injury, responsibility stated as waived all claims as indicated.
Required
You and your family’s participation in CGBC VBS implies permission for CGBC to use you or any of your family’s image in “publicity/promotional/post-event” operations such as (but not limited to) publications, posting on our church website, or public display on a bulletin board.
Required
I acknowledge that I will need to physically sign each child in on the first day of attendance at VBS. The sign in station will be at the registration table where the children check in each day and receive their nametag.
Required
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