Camp Chaos VBS Registration

Jonesboro Christian Fellowship

899 Walker Road

Jonesboro, Louisiana 71251

www.jcfonline.church

Come Experience Hope, Healing, and Community at JCF.
VBS Registration Form For Jonesboro Christian Fellowship Camp Chaos VBS:

Please fill the form below for this child's participation
Participant Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Grade
Medical Needs/ Allergies / Educational Needs/ Special Needs*
Parent / Guardian's Name*

First NameLast Name
Phone Number (Daytime / Emergency)*

Area CodePhone Number
Phone Number (Evening)

Area CodePhone Number
E-mail*
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 JCF:

JCF WebsiteInternetNewspaperFlyer / PosterSocial MediaInvited by a friend
CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
Photos will be taken during our VBS. Do you give consent to use your child photo in our social media and/or website?

YesNo
By signing and submitting this registraiton form, you understand and agree to all policies.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

MonthDayYear
Signature

Clear
Comments and/or Questions:
Should be Empty:

VBS Registration Form For Jonesboro Christian Fellowship Camp Chaos VBS: