Parent's Name (required)
Address
Phone Number(required) (cell)
Your Email
Child's Name (required)
MF
Going into grade (required)
Shirt Size ---YSYMYLSML
preferred music format: CDDigital
Emergency Contact
Emergency Contact Phone number
I Authorize these people to pick up my child from camp.
Is there anyone who is not allowed access to your child?
EMERGENCY INFORMATION Your child’s heath and personal information is collected to ensure the safety and well-being of each person involved in our church ministry. This information will only be seen by our camp staff and will be kept in a secure place.
Please list any allergies
Please list any medications currently being used
List any other health problems/important information:
I (parent/guardian) have read, understood and agree with the above and herby release and discharge all parties associated with Vacation Bible School from any and all claims, demands, actions, and causes of action, that I/we or my/our child(ren) incur(s).
VIDEO/STILL PHOTOGRAPHY AUTHORIZATION FORM I herby authorize the staff of Vacation Bible School to take video and still photos of my child during VBS. These videos and still pictures could be used for future promotional material.
Any additional information you would like to provide