Mega Sports Camp
Registration for West Side Baptist Church's VBS 2019
June 24-28, 2019.  5:30 - 7;30 pm
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Parent's Email Address
Child's First Name *
Child's Last Name *
Child's date of birth *
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What grade will your child be in this fall? *
Child's shirt size *
Sport Chosen *
Child's home address *
Parents' names *
Number to reach parent during VBS *
Allergies/ Medical Information/ other *
Emergency contact (name and number) *
Dismissal Information (Names of persons who may pick your child up from VBS) *
Medical release:  I, the undersigned parent/ guardian, do hereby grant permission for my child to attend West Side Baptist’s VBS.  I hereby authorize West Side Baptist Church and its representatives to obtain or provide medical treatment, if deemed necessary, for my child in the event of an unforeseen injury or illness during VBS and do hereby hold West Side Baptist Church, as well as its representatives, harmless in the exercise of this authority.  I acknowledge and understand that, should such an emergency arise, I will be responsible for any medical bills that may be incurred on behalf of my child for said injury or illness. *
Required
Photo Release:  I, the undersigned parent/ guardian, hereby acknowledge that West Side Baptist Church has my permission to publish photos of my child during their services, on their website, or in any other publications they provide for the purpose of promoting local events. *
By signing your name below, you are electronically signing this form and agree that all information is accurate and whole, to the best of your ability. *
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