Trinity Baptist Church VBS Saturday, July 19th (Breakfast, Lunch, & Snacks will be served). 8:30am- 3:30pm
Please fill out this form to complete the VBS waiver.
Participant Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Participant Age
*
What grade did your child just complete?
*
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies or medical conditions
Trinity Baptist Church has my permission to use my child’s photographs publicly to promote the church and/or VBS. I understand that the images may be used in print publications, online publications, presentations,websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of use.
*
Yes
No
I authorize the VBS staff to seek emergency medical treatment for my child if necessary.
*
Yes
No
Submit
Should be Empty: