2023 Vacation Bible School Registration

Emergency Contact:*

First NameLast Name
Emergency Contact Phone:*
Who is Picking up Child:
Vacation Bible School (VBS) leaders have permission to photograph/film the minor(s) designated above for any lawful purpose associated with this VBS program:

YesNo
Special Needs / Alergies / Concerns:

Parental Consent I hereby consent to let my child participate in the VBS event, Twists and Turns! It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Lebanon Baptist Church, its staff and its volunteers are hereby released from any liability.
Child's Name of Consent:*

First NameLast Name
Parent's Name:*

First NameLast Name
Date:

MonthDayYear
Date
Hour MinutesAM/PM Option
By submitting this form, I give consent to Lebanon Baptist Church of the child above.
Should be Empty:

Registration Form