Eternal Life Baptist Church 2019 VBS Child Registration
Event Dates: July 8-12, 2019
Event Time: 9am to 11:45am daily
Event Address: 8554 E Hendricks County Rd, Mooresville, IN 46158
Contact us at (317) 831-1012 or info@eternallifebaptist.com
Email address *
Child's Name *
Your answer
Name of Parent or Legal Guardian *
Your answer
Address *
Your answer
Mailing Address (if different) *
Your answer
Cell Number *
Your answer
Home Number (if different)
Your answer
Work Number
Your answer
Age of Child *
Your answer
Last School Grade Completed *
Your answer
Medical Information *
Medical or other information we need to know. INCLUDE ANY KNOW FOOD ALLERGIES.
Your answer
Emergency Contacts (other than listed above) *
Names & Phone numbers
Your answer
Dismissal Information *
Who may pick your child up at the end of VBS each day? If someone is not on this list (regardless of relationship), they will NOT be allowed to pick up your child.
Your answer
Other Information
Does your child attend church regularly? If so, where?
Your answer
Photo Policy and Image Release *
PHOTO POLICY: At Eternal Life Baptist Church (ELBC), we webcast, record, and photograph all our services and events. We do this to share the powerful story of Jesus working in our community, to provide access to our church for those who cannot attend in person, and to record important spiritual moments in the lives of our attendees and church at large. IMAGE RELEASE: By participating in an event or service, you grant ELBC permission to use the image, likeness, and sound of voice of you and your party as recorded on audio or video tape without payment or any other consideration. The image may be edited, copied, exhibited, published, or distributed and you and your party waive the right to inspect or approve the finished product. Additionally, you and your party waive any right to royalties or other compensation arising or related to the use of your image or recording. This material may be used in diverse settings within an unrestricted geographic area, including photographic or video recordings electronically displayed via the Internet or in the public setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. By participating in an event or service, you and your party release any and all claims against Eternal Life Baptist Church, and its staff, volunteers or affiliated ministry organizations for utilizing this material.
Required
Digital Signature *
Required
A copy of your responses will be emailed to the address you provided.
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