Monumental VBS Registration
Get ready for adventurous fun at Fresh Start Community Church! July 18-22, 6:00-8:45 pm.  Please fill out this form to register your child. You will need to fill out a separate form for each child. Registration is free and available for 4 years to 6th grade.(Child must be potty-trained) Your child will be in a small crew of 4-5 friends with a leader. They will start the night with singing and then rotate through stations of games, science experiments, Bible adventures, and KidVid Cinema. It's a great place to meet new friends in a safe and loving environment.  If you have any questions, please call or text, Julie Shackleton at 405-838-2883.
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Child's First & Last Name *
Child's Gender *
Date of birth *
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Last school grade completed *
Name of parent(s)/caregiver(s) *
Street Address *
City, State *
Zip *
Home telephone *
Parent/Caregiver cellphone *
Parent/Caregiver email address *
Home Church *
Please list any food allergies
Does your child have any medical diagnosis that we need to know about? (ex: asthma, ADHD, autism)
I grant permission for Fresh Start Community Church and FS Kids Ministries to use photos, videos, and other related media of my minor in print, on screen, or online (including Facebook, YouTube, and similar social networking tools) for advertising (event related), news, informational, or educational purposes where related to Fresh Start Community Church and/or FS Kids Ministries. *
By typing my full name below, I give permission for participation in Monumental VBS at Fresh Start Community Church. I understand that in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff to secure the services of a licensed physician to provide the care necessary for my child’s emergency treatment. It is understood that the parent or legal guardian will assume any financial responsibility for any expense that may be incurred for said emergency treatment. I further give permission to the leaders of these activities to render First Aid, should the need arise. In the event of an emergency, I also give permission to the physician or other healthcare providers selected by the adult leader in charge, to hospitalize, secure proper anesthesia, order injection, or secure other medical treatment, as deemed necessary. I further agree to hold Fresh Start Community Church, FS Kids Ministries, the leaders and/or volunteers thereof blameless for any accidents that might occur during these events. I hereby understand that my child is participating in these events at his/her own risk and agree to all matters above. Please type first and last name below. *
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