Stellar VBS 2023 Registration

Parent/Guardian Information:

Name

This address will receive a confirmation email

Phone

2nd Phone

Address

Emergency Contact (name and phone):

Please list those authorized to pickup your child(ren) from VBS.

Child(ren) Information:

First Child's Name

Grade Entering This Fall:

Has my permission to have snacks at VBS

Yes No, I will provide my child with a snack. My child has a food allergy. See my description below.

If applicable, please describe the food allergy.

*We cannot guarantee shirt sizes, but we will do our best to accommodate the size you requested for your child(ren).*

Child's Shirt Size

XS 2-4 S 6-8 M 10-12 L 14-16 Adult S 34-36

Second Child's Name

Grade Entering This Fall:

Has my permission to have snacks at VBS Yes No, I will provide my child with a snack. My child has a food allergy. See my description below.

If applicable, please describe the food allergy.

Second Child's Shirt Size XS 2-4 S 6-8 M 10-12 L 14-16 Adult S 34-36

Third Child's Name

Grade Entering This Fall:

Has my permission to have snacks at VBS Yes No, I will provide my child with a snack. My child has a food allergy. See my description below.

If applicable, please describe the food allergy.

Third Child's Shirt Size XS 2-4 S 6-8 M 10-12 L 14-16 Adult S 34-36

Fourth Child's Name

Grade Entering This Fall:

Has my permission to have snacks at VBS Yes No, I will provide my child with a snack. My child has a food allergy. See my description below.

If applicable, please describe the food allergy.

Fourth Child's Shirt Size XS 2-4 S 6-8 M 10-12 L 14-16 Adult S 34-36

Do any of your children have any special needs or things we should know? If so, please describe.

Let us know more about you!

Please check all that apply.

I would like to receive text updates regarding VBS. This is our first time attending VBS at Grace Pointe. I would like information about your children's programs and events. We regularly attend a church.

You may receive a call or email updates from us regarding VBS to keep you in the loop. We promise not to spam you!

Agree

Disclaimer

I, the parent/guardian acknowledge that the programs of Grace Pointe Baptist Church are administered by volunteers. In consideration for accepting the registration of the named individuals and permitting the voluntary participation of said individuals in its programs, I (for myself as well as for my child, his heirs and assigns) hereby release, discharge, and hold harmless Grace Pointe Baptist Church and their volunteers from and against any and all claims arising out of or relating to illness, physical injury, death or other damages that may result to said individual while participating in a church sponsored event. I attest that my child is physically capable to participate in this event. However, should officials, representatives or volunteers determine in their sole discretion that completion or participation in any games or events would be injurious to my child's health, or should my child become ill or sick, I consent to his or her removal and treatment by any physical or medical care provider at the discretion of the event or volunteers. I give my permission for free use of my child's name and/or picture in broadcasts, telecasts or written accounts of any participation in any church event.

I have read and agree to the above disclaimer for participation in VBS.

Agree

I agree to keep my child home if they are experiencing symptoms of illness, fever, etc.

Agree

Stellar VBS 2023 Registration

Description

Please Fix the Following