VBS Registration 2023 // Tomball Campus

VBS Registration 2023 // Tomball Campus
Hello my fellow space explorers! Grab you space suit, strap on your jumpboots, and grab a friend as we BLAST OFF into the cosmos!

Shooting through space we will embark on a cosmic quest where we will shine Jesus’ light to the world. Strap in and prepare foor light-years of faith building fun!

VBS will be an out-of-this-world experience for our young space explorers from pre-k to 4th grade.

Date/Time: Monday, July 24 through Wednesday, July 26, 6:30-8:30pm

Location: 31731 TX-249, Pinehurst, TX 77362

Ages: PreK (4/5 years old) through 4th Grade

*T-shirt included in registration.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Emergency Contact (if parent/guardian can't be reached) *

First NameLast Name
Emergency Contact (if parent/guardian can't be reached) Phone Number*
Please enter a valid phone number.
If anyone else can pick up your child(ren), please list their FULL names here:
How many children are you registering for? *
Child Name #1*

First NameLast Name
Child #1 Gender*
Child #1 Date of Birth *

MonthDayYear
Date
Child #1 Grade Completed*
Child #1 t-shirt size*
Child #1 Allergies (food & other - n/a if none)*
Child Name #2*

First NameLast Name
Child #2 Gender*
Child #2 Date of Birth *

MonthDayYear
Date
Child #2 Grade Completed*
Child #2 t-shirt size*
Child #2 Allergies (food & other - n/a if none)*
Child Name #3*

First NameLast Name
Child #3 Gender*
Child #3 Date of Birth *

MonthDayYear
Date
Child #3 Grade Completed*
Child #3 t-shirt size*
Child #3 Allergies (food & other - n/a if none)*
Child Name #4*

First NameLast Name
Child #4 Gender*
Child #4 Date of Birth *

MonthDayYear
Date
Child #4 Grade Completed*
Child #4 t-shirt size*
Child #4 Allergies (food & other - n/a if none)*
Child Name #5*

First NameLast Name
Child #5 Gender*
Child #5 Date of Birth *

MonthDayYear
Date
Child #5 Grade Completed*
Child #5 t-shirt size*
Child #5 Allergies (food & other - n/a if none)*
I certify that I am cognizant of the inherent dangers associated with participating in this activity. I hereby release Grace Church of Tomball, its trustees, representatives, instructors, and agents from any liability whatsoever arising out of injury, sickness, or damage which may be sustained by me or my child during the course of the Activity. I further agree to save and hold harmless Grace Church of Tomball, its trustees, representatives, instructors, and agents from any claim by me, my family, estate, heirs or assigns arising out of enrollment and participation in the Activity.

I do further give my consent for the director or properly appointed staff member of Grace Church of Tomball to secure the administration of medical treatment or medication for my child in case of emergency, and I do further agree to the performance of such treatment, anesthetics, and operations as in the opinion of the attending physician is deemed necessary for myself or my child.
Your signature below indicates that you have read and agree to the release of liability and medical consent statement. (Parent/Guardian Signature)*

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