SPBC VBS REGISTRATION 2024

STONEY POINT BAPTIST CHURCH

VBS REGISTRATION
Join us at SHINE! VBS 2024 where we will be looking at the redemption story of Jesus through the lens of five different movies! Students will "go to the movies" to see Biblical accounts that depict the gospel. We can not wait to help your kiddos SHINE their lights for Jesus!
- June 17th-21st
- 9 am - 11:30 am
- Drop off will be at the front of the church, and will begin at 8:45 am
Student Name

First NameLast Name
Age
Gender
Grade Level Last Completed
T-shirt Size
Allergies/Medical Issues (if no allergies/medical issues please put "n/a")
Parent/Guardian Information
Name 1

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Church Name
Authorized person who can pickup the child on dismissal

First NameLast Name
Additional Emergency Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Agreement
- I understand that my child may participate in physical activities such as those held during Recreation. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Stoney Point and any persons involved in this ministry.
- In the event of an emergency that requires medical treatment for the above named child, I understand every effort will be made to contact me. However, if I cannot be reached, I give permission to secure the services of a licensed physician to provide the care necessary for my child's well being - including tests, X-rays, treatment, hospitalization, and ambulance transport. I assume responsibility for all costs connected to any accident or treatment of my child.
- I grant permission for photo or videos including my child to appear among other group photo in any and all media as long as there is no identifying information published by Stoney Point.
- By placing name in the boxes below you are agreeing to the above.
PARENT/GUARDIAN NAME

First NameLast Name
Date Signed

MonthDayYear
Date
Should be Empty:

STONEY POINT BAPTIST CHURCH

Parent/Guardian Information

Additional Emergency Contact

Agreement