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2019 VBS Registration

July 22-25, 2019

9 am-12 noon

Pre-registered: Please arrive by 8:40 a.m. on Monday for check-in.

Walk-ins: Please arrive by 8:40 a.m. for registration.

Children must be at least 5 years of age or older before the first day of VBS, No exceptions.

Parent's Name *
Parent's Name
Address
Address
Phone
Phone
Emergency contact phone number
Emergency contact phone number
In the event of an emergency, I, the undersigned parent/guardian, understand that all will be done to contact me or the emergency contact named above. However, if neither can be reached, we give full permission to a representative of Westminster Presbyterian Church to seek medical attention in my absence for any child registered on this form. I, the undersigned parent/guardian, hereby assume all risk, known or unknown, for any child registered on this form, in connection with their attendance and participation in Vacation Bible School at Westminster Presbyterian Church. I acknowledge that participation in Vacation Bible School at Westminster Presbyterian Church is voluntary and therefore FULLY RELEASE and discharge Westminster Presbyterian Church, its pastors, employees, directors, and volunteer workers, from any and all liability in connection with any activities carried on at Westminster Presbyterian Church in the Vacation Bible School program. I, the undersigned, also acknowledge that any child registered on this form, as a participant in Vacation Bible School at Westminster Presbyterian Church, may be photographed or captured on video during the Vacation Bible School program and activities. I hereby grant full permission to Westminster Presbyterian Church to use photographs or videos—in print, electronic, online, or other public media—of any child registered on this form and further release Westminster Presbyterian Church from any and all liability connected with the authorized use of words and image of any child registered on this form.
Child's Information
Children must be at least 5 years of age or older before the first day of VBS, no exceptions. Thank you for your cooperation. Multiple children may be registered on this form only if each child listed fully matches ALL of the information completed above. Fill out a separate registration for children who do not match this information in entirety. *Food Allergy Policy: We will provide your child with a "safe" snack based on the allergy information you have provided. This snack will be different from the snack provided for the rest of the class unless you specify otherwise.
Child 1: Birthdate
Child 1: Birthdate
Is your child bringing a guest? Name of guest: (Guest must be registered separately)
Child 2: Birthdate
Child 2: Birthdate
Is your child bringing a guest? Name of guest: (Guest must be registered separately)
Child 3: Birthdate
Child 3: Birthdate
Is your child bringing a guest? Name of guest: (Guest must be registered separately)
Child 4: Birthdate
Child 4: Birthdate
Is your child bringing a guest? Name of guest: (Guest must be registered separately)