2019 Family VBS Registration Form
Foster Chapel Baptist Church
Address: 2101 Ault Rd, Knoxville, TN 37914
Contact us at (865) 688-8588 or office@fosterchapelbaptist.com
Dates: July 22-26, 2019 | 6:00-8:30 p.m.
Please complete the entire form & submit.
You will be required to complete a separate form for each member of your family.
First & Last Name *
Your answer
Address *
ex: 123 Apple Street, Knoxville, TN 37918
Your answer
Contact Number *
Your answer
Age Group *
T-Shirt Size
T-shirt size should reflect the name of the person listed above.
Small
Medium
Large
XLarge
CHILD
Small
Medium
Large
XLarge
2XLarge
3X Large
4X Large
ADULT
Allergies *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Photo Release Consent
I hereby authorize Foster Chapel Baptist Church (FCBC) to take and use photos/videos of all adults and minor children identified above. I understand FCBC may use these images, and the names listed provide above for internal or external marketing purposes in ways including, but not limited to, the following:
• FCBC website
• Social media
• Internal presentations, video monitors, posters, newsletters, brochures, broadcast ads and other publications that may be distributed to the public

I release FCBC, it officers and agents from any and all liability connected with capture or use of these images. I waive all rights, interest, or claims for payment in connection with any exhibition or release of these images. I understand that this consent is voluntary and can be revoked at any time.

I represent that I have legal authority to sign this form on behalf of the minor(s) named above.

Photo Release Consent Response *
By checking this box, I consent that I have read and understand this release, and I certify that the information provided is true and accurate.
Required
VBS Transportation Service
VBS will be held each night at our main church located at 2101 Ault Road. Round trip transportation will be provided each night from our 4012 Oakland Drive location to our main church site.
• Transportation vans will depart each evening from the Oakland Drive church parking lot at 5:15 p.m. and will return each night at 9:00 p.m.
• All minor passengers (ages 15 and under) riding the van will require written consent from a parent or guardian.
• Van drivers will provide consent forms at the time of pick up for each new passenger.

Please select the box below if you are interested in transportation from the Oakland Drive church site.

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