Reformed Baptist Church of Franconia ~ VBS Registration 2023

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Child's First Name *

Child's Last Name *

Mailing Address *

Street

Mailing Address *

City, State, Zip code

Age your child will be on June 25, 2023 *

Home Church, if any

Who Invited You to VBS?

Gender *

Male

Female

Grade entering in the Fall *

**PRESCHOOL IS NOW FULL**. . . . . . . . . KINDERGARTEN -must be 5 years old by 8/31/23

1st

2nd

3rd

4th

5th

6th

7th

8th

Parent/Guardian's Full Name *

First and Last name

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Best number to contact you during VBS in case of emergency

Emergency contact information *

Name, Phone #

In addition to those listed above, the following people have permission to pick up my child from VBS.

Name

Allergies or health concerns

Photo release *

I give permission for my child's photo to be used online (ex. Facebook, RBC website), or for church publicity.

I give permission of my child's photo to be used in the closing program's slide show.

I DO NOT give permission for my child to be included in photos or videos that will be shared online or on a DVD..

Required

Permission and Release - PLEASE READ *

My son/daughter has my permission to attend and participate in Vacation Bible School at Reformed Baptist Church of Franconia from June 25-June 30, 2023. I give my permission for the Bible School staff to obtain emergency medical care on behalf of my son/daughter if the need arises. I understand that every attempt will be made to reach me in the event of an emergency. I give the VBS staff permission to give first aid to my child as needed. I give the physicians and nurses of the responding hospital my permission to begin emergency treatment on my child if the need arises and I am unreachable by phone. The emergency numbers to be called are those listed above. I hereby release Reformed Baptist Church of Franconia and its affiliates from any liability associated with my child's participation in Vacation Bible School.

By clicking here, you are agreeing to the above statement.

KICK-OFF Picnic - Sunday, June 25 at 5:30 PM you and your family are invited to our kick-off picnic before VBS begins that night. We will be eating outside, so bring a blanket to sit on. Please indicate how many in your family will be attending. You only need to enter this on one registration per family.

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