Student's Full Name (required)
Age(4-12) (required)
Gender   T-Shirt Size      Allergies(If Any)
MaleFemale X-SmallSmallMediumLarge
Parents' Full Names (required) Emergency Phone (required)
Alternate Emergency Phone (required) Email (required)
Medical conditions or Other Needs (Need Ride?/Days Attending, etc.)
Terms and conditions:
Note: Although we set ourselves to work hard and give the safest environment for VBS we are required to take this release
Medical Release: I give my permission for the VBS staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.
Photo Release: I hereby grant the above-named church permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful at any time. I waive my right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied.
Parental Consent: By checking this box, I agree to all the terms and conditions mentioned above.