2024 St. Paul Missionary Baptist Church Adult VBS Registration

What a Mess! Vacation Bible School

St. Paul Missionary Baptist Church - 821 B Street - St. Albans, WV 25177
St. Paul Missionary Baptist Church membership and the entire surrounding community are invited to join us for a fun week of Free Food, Bible Stories, Crafts, Music, Games & Snacks!

If you would like to attend Adult Vacation Bible School Classes, please complete and submit the registration form below by Monday, July 1, 2024. Space is limited. ANY QUESTIONS? Please email questions to stpaulvbs2024@gmail.com, visit the Frequently Asked Questions section on the website: www.spmbcvbs2024.com or contact the church at 304.727.1742, Tuesdays through Fridays from 9 AM - 2 PM. We look forward to your attendance!
Registration Form - Adults

This form should be completed by adults ages 18 and older. Please complete one (1) form per person.
Your Name*

First NameLast Name
Gender
Please select your applicable age range*
Your Email Address*
example@example.com or enter N/A if an email address is not available
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Alternate Phone Number, if applicable
Please enter a valid phone number.
Home Church (if applicable):

Emergency Contacts

The following people will be contacted in case of illness, an accident or an emergency.
Emergency Contact #1*

Full NamePhone Number
Emergency Contact #2

Full NamePhone Number

Allergies and Medical Concerns
Do you have any allergies?*

YesNo
If yes, please describe your allergies below. Ex. Allergies to food, seasonal allergies, medication allergies, etc.
Do you have any medical concerns?*

YesNo
If yes, please describe your medical concerns below. Include any physical limitations or restrictions, communication needs, or anything else that will help us to help you have the best possible week at VBS.
Family Doctor's Name
Family Doctor's Phone Number
Please enter a valid phone number.
MEDICAL STATEMENT: In the event of a medical emergency and when contact cannot be made in a timely manner to the emergency contact(s) listed, I give my permission to receive appropriate medical attention. In the event of an unforeseen emergency or any accidents, I release St. Paul Missionary Baptist Church, its employees and volunteers, and all those related to it, from any liability. I have provided emergency contact numbers and am assured that they will be contacted as soon as possible in the event that there is an emergency.
Your Signature*

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Transportation
Limited transportation via church bus and/or van is available for the St. Albans, Institute and Dunbar, West Virginia areas. Will you need transportation to attend the 2024 What a Mess! Vacation Bible School (VBS)?*

Yes, I will need transportation to VBS AND transportation home from VBS. *Please note* You will be picked up and dropped off at the same address.Yes, I will need transportation to VBS, but WILL NOT need transportation home from VBSNo, I will arrange for or provide transportation to and from VBS

Transportation - Part 2
CHURCH BUS/VAN RULES: Adults utilizing church bus and/or van transportation are expected to adhere with bus safety rules (including, but not limited to, no eating or drinking on the bus, no vandalism, remain seated, no fighting, refraining from foul language, etc.). Failure to comply with bus safety rules may result in your not being permitted to ride the bus. A complete list of rules will be provided 2 weeks prior to the program start date. Select the following options to acknowledge your understanding of adhering to the church bus/van rules.*

I understand that if I do not comply with church bus/van rules during the 2024 What a Mess! Vacation Bible School, I may not be permitted to ride the church van/bus in the future.
Is your Pickup and Dropoff Address the same as your Home Address?*

Yes, please use the Home Address listed on this form - Click NEXTNo, please use the Pickup Address entered below
Please list your Pickup and Drop off Address.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Photo Release and Certification
PHOTO RELEASE: St. Paul Missionary Baptist Church (St. Paul MBC) will, on occasion, take photographs and/or video with audio of the children and/or adults participating in our programs to publicize and promote the church activities or events. I understand the images may be used in print publications, online publications, presentations, church websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.*

I DO give permission to be photographed and/or video recorded with audio for the purpose of promoting St. Paul MBC programs and events.I DO NOT give permission to be photographed and/or video recorded with audio for the purpose of promoting St. Paul MBC programs and events.
We understand that your plans may change; however, it is helpful to have an estimate of attendance for planning purposes. Please select all dates that apply. I will attend Vacation Bible School on the following day(s):

Monday, July 15, 2024Tuesday, July 16, 2024Wednesday, July 17, 2024Thursday, July 18, 2024Friday, July 19, 2024
I hereby certify that, to the best of my knowledge, the information I provided in this Vacation Bible School Registration Form is true and accurate. I understand that the information I give for this registration will only be used by the St. Paul Missionary Baptist Church for the purposes of administering the program. I understand and acknowledge that VBS activities, including church provided transportation, have inherent dangers that no amount of care, caution, instruction or experience can eliminate, and I expressly and voluntarily assume all risk for personal injury sustained by myself while participating in these activities whether or not caused by the negligence of the released parties.
Your Signature*

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Date*

MonthDayYear
Date
Please verify that you are human*
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What a Mess! Vacation Bible School

St. Paul Missionary Baptist Church membership and the entire surrounding community are invited to join us for a fun week of Free Food, Bible Stories, Crafts, Music, Games & Snacks!

Registration Form - Adults

Emergency Contacts

Allergies and Medical Concerns

Transportation

Transportation - Part 2

Photo Release and Certification