Vacation Bible School Registration Form for Bethel Assembly
Please fill out the information below to let us know you’ll be joining us for VBS!
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Emergency Contact Name and Phone Number
*
Child 1 Name
*
Child 1 Age
*
Child 2 Name
Child 2 Age
Child 3 Name
Child 3 Age
Child 4 Name
Child 4 Age
I permit photos of my child(ren) to be posted on Askewville Assembly’s social media pages and/org groups:
Yes
No
Please list any allergies or medical conditions (name the child associated with each allergy/condition):
I authorize the VBS staff to seek emergency medical treatment for my child if necessary.*
Yes
No
By signing this form, I agree to release and hold harmless the Askewville Assembly VBS program, staff, and volunteers from any claims or liability arising from my child's participation.
*
Submit Registration
Should be Empty: