VBS Registration

July 8-12, 2019 / 9:00 a.m. - 12:15 p.m. | Please fill out this form and click submit.
We are excited to announce our VBS for 2019 is July 8-12, 9:00 a.m. - 12:15 p.m. Children who are 4 years old entering Pre-K through 5th grade (entering 6th grade) are welcome to join us!

Child's Information

 
Please select one option.
 
 
Please select one option.
 
 
Parent's Information

 
 
 
 
 
Please select one option.
 
Please select one option.
Emergency Contact Information

 
 
 
 
 
 
 
 
 
Medical / Liability Release

In the event of an emergency, and the parent cannot be reached, I, the undersigned parent or legal guardian, do hereby authorize adult volunteers of Westminster Baptist Church as agent(s) for the undersigned, to consent to any medical or surgical care advisable by any accredited physician or surgeon in an approved emergency clinic or hospital.  I likewise authorize VBS trained nurses to administer basic medical care such as applying band aids when deemed medically necessary. I affirm that all medical and emergency contact information listed at registration are accurate to the best of my knowledge.  I further release from any liability Westminster Baptist Church and any of its ministries, leaders or volunteers in the event of an accident before, during, or after Vacation Bible School. This agreement does not apply to claims for intentional misconduct or gross negligence.
By entering my name in the box below, I am providing my electronic signature on this form
.

 
 
Photography Release

Permission is granted for Westminster Baptist Church to photograph my child and use such photographs for craft projects and slide shows.
By entering my name in the box below, I am providing my electronic signature on this form
.
Please select one option.
 
 

Description

July 8-12, 2019 / 9:00 a.m. - 12:15 p.m.
Please fill out this form and click submit.