FirstLP VBS 2022 Sign-Up (Aug 22-26)
Mark your calendars for Monday through Friday, August 22 through 26! We're looking forward to another year of VBS! This year's theme is NORB-E, (a robot space explorer who helps us discover God's glory), and we're so excited to share the message of Jesus's love with these kids! Please reach out with any questions!

Event Address: 60 Chapel Hill Road, Lincoln Park, NJ 07035
Contact us at (973) 694-4336 or office@frc-lpnj.org
First Reformed Church of Lincoln Park (FRCLP)

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NORB-E VBS Promo Video
Your Name and Relationship to child(ren) (mother/father/grandfather, etc.) *
Please let us know if there are any custody arrangements/situations of which we need to be aware, *
Cell/ Number Where you can be reached during VBS *
Your Email Address so that you can receive Important Info about VBS *
Will you be attending the Morning or Evening session? *
How many of your kids are attending? *
Please list the name and age for each child attending  VBS. (VBS is open to kids from 4 to 12). *
What is the name and phone number of your child(ren)'s doctor? *
Do any children have any allergies or medical conditions of which we should be aware.  If so please list child's name, the allergy/condition and if you will be sending anything with them such as an inhaler or epi-pen.                                                                                                                                                                                                                                                                                          If your child has any food allergies please pack a snack which they can eat and send it with your child each day in a container with his/her name labeled clearly. *
Please list any medications that your child currently takes. This information is necessary in case your child should need emergency medical care.  Please list each child and any medications the child is currently taking. *
Who is your emergency contact?  Please list name,  cell number and relationship to the camper.  We will of course attempt to reach you first. *
Medical Release: Should my minor child(ren) listed above require emergency medical treatment as a result of accident or illness arising during the VBS, I consent to such treatment. I grant permission for the staff and volunteers working at FRCLP for its VBS to consent to and authorize medical care for my child on my behalf and transport my child for medical care in the event of an emergency, and I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I have fully disclosed all of my child’s allergies and medical conditions in above. *
Required
Release and Authorization: I am the legal guardian of the enrolled children and  I acknowledge that the nature of the participation in the VBS may expose my child/children listed above to hazards or risks that may result in illness, personal injury or death and I understand and appreciate the nature of such hazards and risks. In consideration of and in return for my child/children listed above being permitted to participate in the VBS at FRCLP, I hereby release FRCLP (and its consistory, pastor, employees, and volunteers) from any and all liability, claims and actions that may arise from injury or harm to the above-listed child/children in connection with participation in the VBS. I understand that this Release covers liability, claims, and actions caused entirely or in part by any acts or failures to act of FRCLP (or its consistory, pastor, employees, or volunteers), including but not limited to negligence, mistake, or failure to supervise by FRCLP (or its consistory, pastor, employees, or volunteers). Additionally, by enrolling my child(ren) in FRCLP VBS I grant permission for the enrolled child(ren) to participate in all of the VBS camp activities. I agree to indemnify First Reformed Church of Lincoln Park from any claims or law suits brought against FRCLP by myself, my child or others, that arises out of any behavior by my child at VBS. I also agree to pay reasonable attorney’s fees or expenses incurred by the FRCLP in defense of such a claim/suit. I have read and understand the entire contents of this Parental Permission Form, the Medical Release, and the Release and Authorization and agree to be bound by its terms. *
Required
Release for Photographs/Videos: I grant to FRCLP, its representatives and employees the right to take photographs of my child(ren) in connection with VBS. I authorize FRCLP, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that FRCLP, may use such photographs of my child(ren), for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. *
Required
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