VBS Yee-Haw Registration 2025

YEE-HAW! Come kick up your heals and join us in the wild frontier as we learn about and celebrate God's greatest gift!
June 23 - 26, 2025
5pm - 7:30pm
Registration Form
Child's Name:*

First NameLast Name
Preferred Name:
Age:*
Birth Date:*

MonthDayYear
Grade Completed:*
Special Needs / Allergies / Concerns:
Child's Name:

First NameLast Name
Preferred Name:
Age:
Birth Date:

MonthDayYear
Grade Completed:
Special Needs / Allergies / Concerns:
Child's Name:

First NameLast Name
Preferred Name:
Age:
Birth Date:

MonthDayYear
Grade Completed:
Special Needs / Allergies / Concerns:
Child's Name:

First NameLast Name
Preferred Name:
Age:
Birth Date:

MonthDayYear
Grade Completed:
Special Needs / Allergies / Concerns:

Emergency Contact:*

First NameLast Name
Emergency Contact Phone:*

Area CodePhone Number
Authorization for Media Release:

Spider Lake Church may post a photograph and/or video of my child/children on the church's website or use a photograph of my child/children in their publications, media, and/or on the screen at church. I understand that photos and videos will not be labeled with names.I ask that Spider Lake Church not post photographs and/or videos of my child/children on the church's website or publications.
Who will Pick up Child/Children:
Relationship to the child/Children:

Parental Consent: I hereby consent to let my child participate in the event, VBS "Yee-Haw." 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, Spider Lake Church, its staff and its volunteers are hereby released from any liability.
Child's Name of Consent:*

First NameLast Name
Child's Name of Consent:

First NameLast Name
Child's Name of Consent:

First NameLast Name
Child's Name of Consent:

First NameLast Name
Parent/Guardian Name:*

First NameLast Name
Date:

MonthDayYearHourMinutesAM/PM Option
By submitting this form, I give consent to Spider Lake Church for the child/children above.
Should be Empty:

Registration Form