LFBC VBS 2024
Grade completed in 2023-2024 School Year -  K4 through 6th Grade 

We also will offer classes for adults AND special needs children!

Monday, June 12 through Thursday, June 15 - 6:00-8:30PM

***ONE FORM PER PERSON***
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Child or Adults Name Attending VBS (One form per person) *
Parents/Guardian Name (for K4 through 6th Grade and Special Needs Children) - if you are interested in the adult class - please put your name in this form. *
Address (Please include city) *
Phone # *
Email *
What grade did they complete in the 2023-2024 school year? *
Who may pick up your child during VBS?
What church does your family attend regularly? *
Any allergies or medication or special needs? *
Permission For Treatment and Photo/Video Notice: My permission is granted for Locust Fork Baptist Church director, church official, or any staffer or adult present or in charge of First Aid, to obtain necessary medical attention in case of sickness or injury to the participant. Also, I understand that as a participant, my child may be photographed or videotaped during normal activities and these photos/videos may be used in promotional materials. *
The undersigned participant and/or parent or legal guardian of the participant hereby releases, acquits and forever discharges Locust Fork Baptist Church, their employees, agents, successors, and assigns, from all suits, damages, claims, proceedings, demands, and liability from any such injury, harm or damage that the participant may incur during any participation in this event. It is further agreed that the participant and/or the parent or legal guardian of the participant shall indemnify and hold harmless Locust Fork Baptist Church, their employees, agents, successors, or assigns, and host families from all claims of any nature whatsoever, whether in the form of legal or equitable actions that can be brought as a result of the participant’s own negligence while participating in the activity described herein. Furthermore, in the event of an accident, if the said staff or representatives are unable to communicate with the participant or contact the parent or legal guardian of the participant, the participant or the undersigned parent or guardian of the participant hereby grants permission to said staff or representative to administer necessary first aid, and/or to take the participant to the nearest medical facility for additional treatment.  *
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