VBS 2024 Registration Form (Participant)

IN PERSON @ EACO (4 Thorncliff Place, Nepean, ON K2H 6L2, 613-820-6774)

Monday to Friday, August 12 to August 16, 2024 - 9:00am - 4:00pm Daily

REGISTRATION DEADLINE - SUNDAY JULY 21, 2024. NO REFUNDS AFTER THIS DATE.

NOTE:

- VBS is open to all children who have COMPLETED JK to Grade 6 by June 2024

- Each participant will be required to BRING: DAILY LUNCH, WATER BOTTLE, CHANGE OF CLOTHING, EXTRA SHOES/SANDALS, TOWEL

- Registration fees can be paid BY E-TRANSFER OR BY CHEQUE

REGISTRATION FEES

You can register more than one child of the same family using this form. Fees per child is $85.00. There is a maximum fee of $200.00 for a family of 3 or more participants, all in the same family. Please pay the total amount for all participants through E-TRANSFER to (feepayment@eaco.ca) OR you can mail or drop off a CHEQUE payment to "Emmanuel Alliance Church of Ottawa" (EACO). There will be NO REFUNDS after SUNDAY, JULY 21, 2024.  If needed, please keep your receipt for Income Tax purposes.

CONTACT: Sue Ho (sue@eaco.ca)

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Email *
VBS 2024
Parent / Guardian Name (First Name / Last Name)
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Relationship to Child
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Parent / Guardian Email Address
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Parent / Guardian Contact Phone Number
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Child's Family Home Address (#, Street name, Apt #, City, Postal Code)
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Emergency Contact Information (Name, relationship to child, phone number)
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Child 1 - Name of Child (first / last)
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Child 1 - Gender
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Child 1 - Age
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Child 1 - Grade Completed (as of June 2024) *
Child 1 - Date of Birth (Day / Month / Year) *
Child 1 - Does your child have any allergies, physical, emotional, mental, behavioural concerns or limitations that our staff should be aware of? *
Child 1 - If yes, please explain *
Child 2 - Name (First / Last)
Child 2 - Gender
Clear selection
Child 2 - Age
Child 2 - Grade Completed (as of June 2024)
Child 2 - Date of Birth (Day / Month / Year)
Child 2 - Does your child have any allergies, physical, emotional, mental, behavioural concerns or limitations that our staff should be aware of?
Child 2 - If yes, please explain
Child 3 - Name (First / Last)
Child 3 - Gender
Clear selection
Child 3 - Age
Child 3 - Grade Completed (as of June 2024)
Child 3 - Date of Birth (Day / Month / Year)
Child 3 - Does your child have any allergies, physical, emotional, mental, behavioural concerns or limitations that our staff should be aware of?
Child 3 - If yes, please explain
Please check the appropriate item indicating how many children from the same family will participate. *
Please indicate how you will pay for the total Registration Fees *
Name of Church your family attends regularly. If none, please reply "none". *

INFORMED CONSENT & WAIVER OF LIABILITY - PLEASE READ CAREFULLY

I/We, Parent/Guardian, named below, undertake and agree to indemnify and hold blameless the Ministry staff, EACO, its Pastors and Board of Elders and Volunteers from and against any loss, damage or injury suffered by the participant(s) (named above) as a result of being part of the activities of EACO, as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective when participating in the 2024 VBS program at EACO.

The health and safety of the children and leaders participating in VBS is important to us. All of our leaders are Protection Plan Trained. We make every effort to prepare the facility, follow restriction guidelines, and provide constant reminders to be mindful of health concerns.

If your child is showing signs of sickness that can be contagious, we strongly recommend masking, or keeping your child at home to rest. We are not responsible for any COVID-19, or RSV infections that may occur during the event and it's activities.

By entering your name below, you grant the permission for the reasonable use of photos / videos / audio recordings to be taken, and shown, during this event containing your family for the use of brochures / promotional material, or EACO use.

As the parent or guardian, by entering your digital name  below, you have reviewed and agree to, and understand all the information presented above.
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