2026 VBS June 8th-12th 6:30pm-8:30pm Registration Form

Parent's Name

First NameLast Name

List the kids that are attending

Child 1 Name

Child 1 Gender

Child 2 Name

Child 2 Gender

Child 3 Name

Child 3 Gender

Child 4 Name

Child 4 Gender

Child 5 Name

Child 5 Gender

Child 6 Name

Child 6 Gender

Gender

Parent/Guardian Information

Cell Number

Format: (000) 000-0000.

E-mail

example@example.com

Does the kids have any allergies, chronic illness, or medical conditions? If yes, please describe.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Tabernacle Baptist Church of Lawrenceville during the VBS. In exchange for the acceptance of said child’s candidacy by Tabernacle Baptist Church of Lawrenceville , I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Tabernacle Baptist Church of Lawrenceville and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Tabernacle Baptist Church of Lawrenceville. including all coaches and affiliates, all participants, sponsoring agencies,Tabernacle Baptist Church of Lawrenceville advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities. Some of these injuries include, but are not limited to, the risk of fractures.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Date

Signature

2026 VBS June 8th-12th 6:30pm-8:30pm Registration Form

Family Information