VBS 2018 Registration
Splash Canyon - Discover God's Promise on Life's Wild Ride
(One per Child please)
Check the Box Grade Completed
City, State, Zip
Emergency Contact/Relationship to Child
Emergency Contact Best Phone Number
Doctor Name and Phone
Anything else that would be helpful for us to know?
How Did You Hear of our VBS?
Have come for years
Invited by someone
Authorized to sign out your children
We will assume that both mom and dad can sign out child(ren) unless otherwise stated
Permission to walk or bicycle home
Signature of parent or guardian
I hereby enroll and give permission for my child to participate in the planned activities of Vacation Bible School at Bethel Lutheran Church in Westmont, IL. The above health information is correct and the child(ren) described has permission to engage in all VBS activities except as noted above. If I cannot be reached in an emergency, I hereby give permission to the medical personnel selected by the VBS director to order X-rays, routine tests, treatment, hospitalization and necessary related transportation for my child(ren) until I am available. Photograph release: By signing below, I indicate that I understand that photos/slides/videos of my child may be taken for VBS. I realize that our privacy will be protected in all photographs and publications of the VBS activities. I understand that no personal information other than name and hometown will be released under any circumstance. Electronics: I understand that no electronic devices are allowed at VBS! Cell phones are for emergencies only. Please type your Name as an electronic signature.
I agree to the above
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