Carolina Beach Presbyterian Church               Vacation Bible School
Come join us at Camp Firelight VBS June 17-20 from 5:15 - 8:00 pm! Children (preK - 5th grade completion) will enjoy an interactive, energizing, Bible based good time as they learn to face challenges while always trusting in God. Each day, campers will see Counselor Sam and his trusty pal Lu explore timeless Bible stories that show how Old and New Testament Campers trusted God in the face of their own fears and went on to do great things in God’s name.

With a kid-friendly meal each night, music, interactive scripture exploration, crafts, games and a mission project, everyone is sure to have a good time and grow in their faith! 

**Please complete a separate form for each child attending.**
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Child's Name *
Parent/Guardian's Name *
Mailing Address *
Email Address *
Phone # *
Child's Date of Birth *
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School Grade for 2024-25 Academic Year *
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Home Church *
Allergies *
Other Medical Information to Share *
Emergency Contact Information
**Please list emergency contacts other than the parent/guardian listed above.**
Emergency Contact Name #1 *
Relationship to your Child *
Phone # *
Emergency Contact Name #2 *
Relationship to your Child *
Phone # *
Dismissal Information -- please list person(s) authorized to pick up your child from VBS. *

Activity and Medical Release 

I grant my permission for my child to attend Vacation Bible School at Carolina Beach Presbyterian Church of Carolina Beach, North Carolina. I do also grant my permission for any emergency medical treatment to be administered in the event of an accident and do hereby release Carolina Beach Presbyterian Church and its employees and chaperones from any liability. 

I have read and understand the above. 

Electronic Signature using your full legal name: 

Permission to Use Photographs

I grant to Carolina Beach Presbyterian Church, its representatives and employees the right to take photographs of my child in connection with Vacation Bible School. I authorize Carolina Beach Presbyterian Church, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Carolina Beach Presbyterian Church may use such photographs of my child(ren) for any lawful purpose, including for example, such purposes as publicity, illustration, advertising, and Web content.

I have read and understand the above.

Electronic Signature using your full legal name: 

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