VBS Reg-Walkin

VACATION BIBLE SCHOOL Registration Form
for Walk-ins

This form is for Walk-ins being dropped off by parents or guardians.
If you want to register kids to ride the bus return to the main screen
and select the VBS Bus riders button.
All children must have completed kindergarten in order to attend. We are not providing a preschool program this year.

* Indicates required field

Parent Name *

First

Last

# of kids to register *

Are you a VBS Volunteer? *

YES NO

Address *

Line 1

Line 2

City

State

Zip Code

Country

Additional Authorized Persons to pick up your child *

Email *

Phone Number *

Alternate Emergency Phone # *

Name of Church you currently attend: *

Do any of the children you are registering have any special needs? *

Yes No

If "Yes", please explain here *

Please NOTE: The Pre-school option is available here ONLY for our Volunteers who have Pre-school age children. We do not have a Pre-school program for Vacation Bible School.

Child's Name #1 *

First

Last

Birth Date #1 [mm/dd/yy] *

Last Grade Completed #1 *

Age *

Food/Drug Allergies *

Child's Name #2 *

First

Last

Birth Date #2 [mm/dd/yy] *

Last Grade Completed #2 *

Age *

Food/Drug Allergies *

Child's Name #3 *

First

Last

Birth Date #3 [mm/dd/yy] *

Last Grade Completed #3 *

Age *

Food/Drug Allergies *

Child's Name #4 *

First

Last

Birth Date #4 [mm/dd/yy] *

Last Grade Completed #4 *

Age *

Food/Drug Allergies *

Parental Consent Form

The undersigned does hereby give permission for the children listed on this electronic form to attend and participate in Vacation Bible School activities sponsored by the Osceola Grace Church for 2019.

My Authorization
I understand that in the event medical intervention is needed, every attempt will be made to contact the person(s) listed on this form. In the event I cannot be reached in an emergency, I hereby give permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or to order an injection, anesthesia, or surgery for my child as deemed necessary. I understand that my insurance coverage for my child will be used as primary coverage in the event a medical intervention might be needed. I understand all reasonable safety precautions will be taken at all times by the children’s staff of Osceola Grace Church’s Vacation Bible School. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Osceola Grace Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.
I understand that my child may be photographed or videoed for our church YouTube channel and internal church promotional purposes. No names will be publicized.
By submitting this form I agree to the above authorization.

Submit

VACATION BIBLE SCHOOL Registration Form ​for Walk-ins

Parental Consent Form

VACATION BIBLE SCHOOL Registration Form
for Walk-ins