VBS Registration - Student
Sign in to Google to save your progress. Learn more
Email *
Parent Name(s): *
Address (street, city, state, zip code): *
Phone Number: *
Alternate Phone Number:
Emergency contact (name & phone number) *
People authorized to pick up my child: *
Do you have a church home?
Clear selection
If you do not have a church home, would you like more information about Ascension?
Clear selection
I grant Ascension Lutheran Church permission to use photos, videos, and recordings of my child in websites, press releases, social media and other forms of publicity. *
I consent to first aid treatment in the event of a medical emergency. *
By registering my child, I acknowledge that participating in Vacation Bible School may carry a risk of possible exposure to COVID- 19 despite the safety protocols in place. I knowingly and freely assume such risk and assume full responsibility for my child's participation in VBS.  I agree to release all claims for myself and my child as a parent or legal guardian for the child being registered against Ascension Lutheran Church, its employees and volunteers, and will hold them harmless from any and all liability or demands for personal injury, psychological injury or sickness which may be incurred by my child's participation in VBS and affiliated programs, events, and activities. *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ascension Lutheran Church. Report Abuse
Google Forms