2024 VBS "Explorers Bible Camp" - CHILD REGISTRATION • Fairlawn Mennonite Church

2024 VBS DATES AND TIMES - JULY 14 - 18 (6:30 to 8:30pm)

PART 1: YOUR CHILD'S INFORMATION

First Name *

Age *

Tip: The child must be at least 5 by July 14th.

School Grade *

Tip: Please indicate their grade for the 2023-2024 school year

Gender

Last Name *

Date of Birth *

Health Concerns/Allergies/Other Info

Tip: Please include any and all information we need to know to keep your child healthy and safe.

Does your child have their own age-appropriate Bible?

Yes

PART 2: PARENT/GUARDIAN INFORMATION

Parent/Guardian First Name *

Home Church Name (put "None" if no home church) *

Parent/Guardian Last Name *

Mobile Number *

Tip: Enter number that can be reached in an emergency.

Email Address *

Tip: if no email, please type NA

Secondary Emergency Phone # *

Permission and Liability acknowledgement

I, the undersigned give permission for my child to participate in the VBS activities and release Fairlawn Mennonite Church and its volunteers from any liability whatsoever from any injury, loss, or damage to property sustained by the undersigned or any members of his or her family in attendance. In the event I cannot be reached in an EMERGENCY, I hereby give permission to have my child transferred to the nearest hospital.

Permission? *

YES

The church has permission to use photographs and video of my child while at VBS for promotional items and/or posts to social media. *

YES

2024 VBS DATES AND TIMES - JULY 14 - 18 (6:30 to 8:30pm)

PART 1: YOUR CHILD'S INFORMATION

PART 2: PARENT/GUARDIAN INFORMATION

Permission and Liability acknowledgement

PLEASE COMPLETE A FORM FOR EACH CHILD REGISTERING