VBS Registration 2025 // Liberty Campus

Westward Ho!

Grab your bandana and dust off your boots! We are headed west to Wonder Junction where kids will discover the wonder of who Jesus is. They'll marvel at the Creator of the universe who came to earth as a tiny baby and was laid in a feeding trough for animals, who grew up and began his ministry of healing people and demonstrating his power as God the Son, who gave his life in payment for sin, who conquered death, and who will return one day in power and glory. They will be encouraged to embrace the salvation Jesus offers and challenged to live for his glory as we wait for his return.

Get your ticket to Wonder Junction where kids will marvel at Jesus and learn to live for his glory!

Date/Time: Monday, June 23^rd - Wednesday, June 25^th| 6-8 pm

Location: 1935 N. Hwy 146 Liberty, Tx 77575

Ages: PreK (3/4/5 years old) - 5th 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 *

Date

Child #1 Grade Completed*

Child #1 t-shirt size*

Child #1 Allergies (food & other - n/a if none)*

List one friend that your child would like to be grouped with. *This is not a guarantee, but we will try. Children will be grouped by GRADE level.

Child Name #2*

First NameLast Name

Child #2 Gender*

Child #2 Date of Birth *

Date

Child #2 Grade Completed*

Child #2 t-shirt size*

Child #2 Allergies (food & other - n/a if none)*

List one friend that your child would like to be grouped with. *This is not a guarantee, but we will try. Children will be grouped by GRADE level.

Child Name #3*

First NameLast Name

Child #3 Gender*

Child #3 Date of Birth *

Date

Child #3 Grade Completed*

Child #3 t-shirt size*

Child #3 Allergies (food & other - n/a if none)*

List one friend that your child would like to be grouped with. *This is not a guarantee, but we will try. Children will be grouped by GRADE level.

Child Name #4*

First NameLast Name

Child #4 Gender*

Child #4 Date of Birth *

Date

Child #4 Grade Completed*

Child #4 t-shirt size*

Child #4 Allergies (food & other - n/a if none)*

List one friend that your child would like to be grouped with. *This is not a guarantee, but we will try. Children will be grouped by GRADE level.

Child Name #5*

First NameLast Name

Child #5 Gender*

Child #5 Date of Birth *

Date

Child #5 Grade Completed*

Child #5 t-shirt size*

Child #5 Allergies (food & other - n/a if none)*

List one friend that your child would like to be grouped with. *This is not a guarantee, but we will try. Children will be grouped by GRADE level.

I certify that I am cognizant of the inherent dangers associated with participating in this activity. I hereby release Grace Church of Humble, 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 Humble, 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 Humble 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)*