VBS 2026

  • EL FARO ASSEMBLY OF GOD  VBS 2026

    12273 US-301 Belleview, FL 34420

    From June 22nd to June 26th 8:30am - 1:00pm. Ages from 4-12

    Cost: $35 per child, the cost includes a snack, lunch, materials, and a shirt.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contacts in the event that the Parent / Guardian CANNOT be reached

    I authorize the following people to pick up my child from VBS


    Name *
    Relationship *
    Phone# *   * 

    Name *
    Relationship *
    Phone# *   * 


    Please Note: (children ages 4-5 must be toilet trained to be accepted)


    Children Attending:


    Child Name*
    Age * 
    Grade Fall 2026 *  
    Allergies/Medical Conditions   *      
    T-Shirt   *    

    Pick a Date*   *   

  • Cost of child application is $35.00 (non-refundable but transferable). To complete your registration, you must make your payment via Zelle or Cash (if paying by Zelle, please add the child's name in the MEMO's description). Zelle Payment elfaro12273@aol.com*

  • Reason for which release is intended:

    Vacation Bible School 2025 at El Faro Assembly of God Inc

    Name of Minor:
                  

    Address of Minor:
              
     
    Emergency Phones:
         

    Family Physician:
         Phone:       

    Physicians Address:
                   

    Emergency Phone    
    Secondary Emergency Phone     

  • EL FARO ASSEMBLY OF GOD

    MEDICAL TREATMENT AUTHORIZATION

    To Whom it May Concern:

    As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed physician of any condition which, In the opinion of the physician, is deemed necessary and appropriate. This authority is granted only after a reasonable effort has been made to reach me.

  • I further authorize the person who presents the minor to sign the Acknowledgment of Receipt of Notice Privacy Rights that may be presented by the physician or health care facility.

    This authorization Is completed and signed of my own free will with the sole purpose of authorizing medical treatment deemed necessary and appropriate by the treating physician.

  • I,* authorize El Faro VBS to take photographs or videos of my child. I grant them all rights to use photographs or videos and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group's aims. (check the box the item that you will allow):

  • *

  • This consent must be re-examined and signed each year.
    Parent / Guardian Signature:   *   
    Child Name: *   *         Pick a Date*

  • MEDIA RELEASE FORM

    El Faro Assembly of God Area VBS will not photograph, videotape and/or voice tape individuals in its programs without consent. This form allows you to give permission for your child/children to be photographed, videotaped and/or voice taped by parish personnel and/or area news reporters. Phatographs, videotapes and/or voice tapes, when consented to, will only be used for the purposes you specify below.

  • Should be Empty: