2021 Vacation Bible School Online Registration Form

First Baptist Church Vacation Bible School

August 9-12, 2021 Preschool-6th Grade (Ages 3-12)
Child's Name

First Name Middle Name Last Name
Birth Date

Month Day Year
Current Grade
Age
Gender
Guardian's Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail
example@example.com
Phone Number
Church Affiliation

Attends First Baptist Church
Attends another church
Please list those people authorized to pick up your child from VBS
Additional comments, food allergies, anything else that would be helpful for us to know about your child.
Medical Release & Liability Waiver
As a parent or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor of the above named minor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. This blanket permit will cover any and all outings and events my child will attend within Vacation Bible School of 2021. This release will be in effect starting 8/9/21 and continue until 8/12/21. My signature also serves to indicate willingness to take full medical insurance responsibilities for my son or daughter and to release First Baptist Church of Gunnison from this liability. Furthermore, I realize COVID-19 is highly contagious and is known to spread mainly from person-to-person contact. By attending Vacation Bible School at First Baptist Church of Gunnison, I agree to abide by the procedures established by the church to protect attendees and staff, and I voluntarily assume the risk that myself and/or my family may be exposed to or infected by COVID-19 either at the church, in a class/game time, in the church worship service, or in the nursery or Sunday School. I agree to assume all the risks of attendance and participation for myself, my child, and my family, and I waive any liability against the church and any other parties.

Clear
Should be Empty:

First Baptist Church Vacation Bible School

Medical Release & Liability Waiver