VBS 2021

Child's Info

First Name *

Last Name *

Health Concerns/Allergies/Other Info

Parent/Guardian Info

Parent/Guardian First Name *

Parent/Guardian Last Name *

Mobile Number *

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

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

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.

By clicking yes you also agree to have your child included in photographs and or video at VBS.

YES