VBS Camp Registration Form 2025

Club 3:16 VBS Camp 2025

Registration Form

Aug 10&11

(Sunday evening - Monday evening)

for Ages 4-14

Your kids will enjoy 2days & 1night at the church, full of fun adventures such as a Wagon Ride, Slip'n'slide, Water Balloons, and more.

All while learning about the Prodigal Son through skits and crafts.

Meals included, no cost to attend!

VBS Camp begins Sunday at 5pm and concludes Monday at 7pm. Your kids will be cared for by many loving adults and team leaders. The overnight stay is optional but recommended. Contact us with any questions, and be sure to list any allergy, medication, or behavioral information that we should be aware of.

What to Bring Suggestions:

Bedding or Sleeping Bag, Pillow, Change of Clothes, Swimsuit, Towel, Toothbrush, Toothpaste, Sunscreen, Bugspray, No Electronics

Faith Journey - 108 Burnett St, Spencer, WI 54479

club316youth@faith-journey.church

715-615-9309

How many kids would you like to register for camp?*

Student1 Information

Student1 Name*

First NameLast Name

Birthday

MonthDayYear

Week 1 or Week 2?

List any allergy, medical, or attendance information that we should be aware of:

Student2 Information

Student2 Name

First NameLast Name

Birthday

MonthDayYear

Week 1 or Week 2?

List any allergy, medical, or attendance information that we should be aware of:

Student3 Information

Student3 Name

First NameLast Name

Birthday

MonthDayYear

Week 1 or Week 2?

List any allergy, medical, or attendance information that we should be aware of:

Student4Information

Student4 Name

First NameLast Name

Birthday

MonthDayYear

Week 1 or Week 2?

List any allergy, medical, or attendance information that we should be aware of:

Student5 Information

Student5 Name

First NameLast Name

Birthday

MonthDayYear

Week 1 or Week 2?

List any allergy, medical, or attendance information that we should be aware of:

Guardian Information

Parent/Guardian Name*

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Cell Phone*

Area CodePhone Number

Other Phone

Area CodePhone Number

E-mail*

Guardian#2 Information - optional

Parent/Guardian #2 Name

First NameLast Name

Phone

Area CodePhone Number

E-mail

example@example.com

Emergency Contact if you are not available

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Medical Information

List any medical, behavioral conditions, and/or allergies:

Medications (list medication name, dosage, and administrations time(s):

If certain over-the-counter medications are to be restricted, list below:

Would you like to provide your family's health insurance information?

YesNo, just contact me if its ever needed

Insurance Carrier

Name of Policy Holder

Subscriber ID or Group Number

Card Number / Card Date

Parental Permission and Release of Liability

I herby give permission for my child(ren) to attend Club 3:16 VBS Camp on Aug 10&11. The safety and care of my child(ren) will be the highest priority while in attendance, but I understand that accidents and injuries can happen. Therefore, I agree to waive the right to pursue any claim against Faith Journey, its staff, volunteers, and other families involved in the Club 3:16 VBS Camp ministry. If I can't be contacted in the event of an accident or injury, I give permission for medical treatment to be administered or arranged as needed. I give permission for photos to be used for publicity purposes, and authorize the church to administer medications as perscribed and over-the-counter medications for common conditions.

I have read and agree to the above conditions*

YesNo

Confirmation E-mail*

Signature*

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at johnsset@yahoo.com