MESSIAS VBS 2025 Registration

VBS 2025 Registration

VBS is available for children 4 years old to 17 years Old.
How many children are you registering?*
Child Information
First Child
Child's Name*

First NameLast Name
Last Grade Completed*
Please choose your child's class by age group (1).*
Does the child attend Sunday school anywhere?

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Second Child
Child's Name

First NameLast Name
Does the child attend Sunday school anywhere?

YesNo
Where?
Last Grade Completed (2)
Please choose your child's class by age group (2).
Medical or other information we may need to know about the child (including food allergies).
Third Child
Child's Name

First NameLast Name
Does the child attend Sunday school anywhere?

YesNo
Where?
Please choose your child's class by age group (3).
Last Grade Completed (3)
Medical or other information we may need to know about the child (including food allergies).
Fourth Child
Child's Name

First NameLast Name
Does the child attend Sunday school anywhere?

YesNo
Where?
Please choose your child's class by age group (4).
Last Grade Completed (4)
Medical or other information we may need to know about the child (including food allergies).
Child Release Information
Parent/Legal Guardian Name*

First NameLast Name
Parent Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Names of Persons to which the child (children) may be released to each night after VBS (Please provide at least two)*

First NameLast Name
Full Name*

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Are there any persons to which the child (children) may NOT be released to?*

YesNo
Who may you child (children) NOT be released to?
Emergency Contact 1 (other than parent/guardian listed above)*

First NameLast Name
Emergency Contact 1 Phone Number*

Area CodePhone Number
Emergency Contact 2 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 2 Phone Number

Area CodePhone Number
Day Time Field Trips

Trips have limited space and after registration you will be contact regarding if space is full. Parents will be contacted before trip with detail information
Will your child or children be attending fieldtrips

Lansing Capital tour Tuesday 7/15/2025 ($10 due day of event)Toledo Zoo Thursday 7/17/2025 ($10 due day of event)
Parent/Guardian Consent
I hereby release Messias Temple Church, its employees or volunteers of any liability, demands, damages arising out of any loss or damage (including death) that may be sustained while participating or traveling for all event(s).In the event of an emergency, or a situation that is reasonably considered to be an emergency, I, the parent/guardian give permission to Messias to seek and authorize emergency medical care to be given to my child named above. (For example; first aid, medication, anesthesia, or surgery.) This care may be given under whatever conditions are necessary to preserve life, limb, or well being of my dependent. Messias will make reasonable attempts to notify parents/guardians prior to authorizing any such emergency care. I fully understand that my child must abide by all rules governing conduct and safety while attending Vacation Bible School Program activities. Additionally, I give permission for my child to be photographed during activities associated with Vacation Bible School. I understand that said photos/videos may be used for the VBS program, and that my child’s name will not be used with the image.*

I Agree
Signature

Clear
Should be Empty:

VBS 2025 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Day Time Field Trips

Parent/Guardian Consent