Preparing a Demo

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VBS REGISTRATION

Parent/Guardian Name *

Mobile Phone *

Email *

Address *

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Child #1: First and Last Name *

Child #1 Birthdate *

Child #1 Grade *

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Child #1: Please list any allergies, medical conditions, medications, or special needs our volunteers should be aware of. *

Add a 2nd Child

Yes

Child #2: First and Last Name

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Child #2 Birthdate

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Child #2 Grade

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Child #2: Please list any allergies, medical conditions, medications, or special needs our volunteers should be aware of.

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Add a 3rd Child

Yes

Child #3: First and Last Name

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Child #3 Birthdate

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Child #3 Grade

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Child #3: Please list any allergies, medical conditions, medications, or special needs our volunteers should be aware of.

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Emergency Contact Name and Phone Number *

Medical Release: In the event of an emergency, I authorize Oconee Heights Baptist Church staff or volunteers to obtain necessary medical treatment for my child if I cannot be reached immediately. *

I agree

Pickup Authorization: If someone other than the parent/guardian listed above may pick up your child(ren), please list their name(s) below.

Photo Release: I give permission for my child(ren) image to be used in church publication, social media, and future VBS promotions. *

Yes

Does your family currently attend Oconee Heights Baptist Church? *

Yes

Occasionally

How did you hear about our VBS? *

Friend

Family Member

Church Member

Facebook

Website

Outdoor Banner

Other

I give permission for my child(ren) to participate in Vacation Bible School at Oconee Heights Baptist Church and certify that the information provided is accurate. *

Yes

Signature *common.clear

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