• Image field 3
  • VBS Registration - July 7-12

  • Students Information

  • Gender*
  • How will your child be transported to/from VBS?*
  • Health Information

  • Parent or Legal Guardian Information

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  • Student Release

  • By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I authorize First Baptist Wells to use my camper's picture, testimony, and video in any promotional material(web,print,or media). I or My child may recieve any e-mails or texts from the church or their leaders.  I have read the rules provided by FBCW and agree to them.

    Consent For Medical Treatment: I/we herby authorize if an emergency should arise while the above camper is in attendance of VBS I/we authorize camp staff, or group leader to provide care to the camper and/or transport the camper to a medical facility.

    I/we further authorize the health care provider or medical facility to administer necessary and/or surgical care upon arrival at the medical facility. I/we understand that chutch staff will make every effort to locate the parent/guardian or the emergency contact person listed on this document before any action will be taken. If it is not possible to locate the persons listed, I/we will accept the expense of emergency medical and/or surgical treatment.

    Assumption of Risk And Release of Liability: I/we understand the camper listed above wishes to participate in all activities offered at Wells First Baptist. I/we assume all risks and any other ordinary risk incidental to the nature of the activities. Further I/we will hold harmless from any and all liability from Wells FBC, its components, its staff, workers, and affiliates of Wells FBC. I/we fully understand that any physical activity involves risk of injury. I/we also understand that all students' participation in any activities is entirely VOLUNTARY. I/we enter into this activity and take full responsibility for the decision to participate or not to participate and agree to the follow all the safety instructions.

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