FBC Nogales                                                              :: VBS 2021 Registration
WHEN:                  July 19th-23rd, 2021
WHERE:                 Frank Reed Rd Nogales AZ 85621
QUESTIONS?:       (520) 281-1677 or office@fbcnogales.org
Sign in to Google to save your progress. Learn more
Parent/Legal Guardian Name: *
Phone# (eg 555-555-5555) *
Additional Parent/Guardian Name and Phone # (eg John Doe 555-555-5555)
Email ID *
Your Address *
eg: 1916 N. Frank Reed Rd Nogales AZ 85621
Authorization *
I (we), the undersigned parent(s) or legal guardian(s) of the minor(s) listed below/on the reverse, grant permission for my child(ren) to participate fully in Vacation Bible School (hereinafter referred to as “VBS”) activities from July 19, 2021 – July 23, 2021 at First Baptist Church of Nogales. Further permission is hereby given to First Baptist Church of Nogales to provide emergency medical treatment in the event he/she is ill or injured. I do hereby authorize and consent to any reasonable medical treatment as deemed necessary by a licensed physician/medical personnel. It is understood that this authorization is given in advance of any specific diagnosis or treatment being required, but is given to provide authority and power to render care which the aforementioned physician/medical personnel, in his or her best judgment, may deem advisable. It is also understood that effort will be made to reach his/her parent(s), legal guardian(s), or emergency contact(s) prior to rendering treatment, but that any treatment will not be withheld if the aforementioned cannot be reached. I understand the nature of VBS and do hereby release First Baptist Church of Nogales, its staff, and representatives from any liability for accidents or injury sustained by my child in conjunction with VBS.
Required
If Parent/Legal Guardian is not available in an emergency, contact:
(Please provide name and phone number of emergency contact)
In case of emergency contact *
Phone *
Relationship to child *
Other person(s) authorized to pick up your child(ren):                                                                                                                       List the name of anyone you want to have permission to pick up your child(ren) from VBS.
Do we have your permission to photograph and/or videotape your child(ren) to post on our church website, Facebook page, or show during a church service?                                                                                     *We may take photos or video of children participating in various parts of VBS to post on our church website, Facebook page, or show during a church service. By Answering 'YES' you are granting us permission to do so. *
Home church
How did you hear about our VBS?
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy