VBS 2025 Registration Form

VBS Registration Form

Please fill out the form below to register your child/children for VBS 2025. If you have multiple children attending, please fill out a form for each child. When: Saturday, June 28th 1-4pm at Rhythm Church

Parent's Contact Information
Parent / Guardian's Name*

First NameLast Name
Phone Number (Emergency contact)*
E-mail*
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Do you currently have a home church?

YesNo
If Yes, where?
Tell us how you learned about VBS at Rhythm:

Rhythm WebsiteSocial MediaFlyer / PosterInvited by a friend/family memberOther

Liability Information
I consent to my child's participation in this VBS program.

YesNo
CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I authorize the VBS staff to seek emergency medical treatment for my child if necessary. I hereby give my consent for emergency medical care prescribed by a licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
By signing and submitting this registraiton form, you understand and agree to all policies.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

MonthDayYear
Date
By signing below, I agree to release and hold harmless the VBS program, staff, Rhythm Church and volunteers from any claims or liability arising from my child's participation.
Signature

Clear
Should be Empty:

VBS Registration Form