VBS 2026 Grade School Registration Form

VBS 2026 Grade School

Rainforest Falls: Exploring the Nature of God
VBS Information:

Who: Grades 1-6 (must complete grade one)

When: August 10-14 from 9:15AM-12:15PM

Where: Fraser Lands Church (3330 SE Marine Drive, Vancouver)

Cost: $60 per child

Payment Method: E-Transfer (payments made to donations@fraserlands.ca). In the message box, please provide your full name, your child/children's full name and "VBS Registration"

***Please note: Your payment must be received in order for your child's spot to be secured.

Name of Child

First NameLast Name
Child's Gender
Date of Birth

MonthDayYear
Date
Your child's existing grade
Please note there are 60 spots for Grade School. Once it fills out, please choose Grade School WAITLIST. Note: Those on waitlist are not guaranteed a spot. You will be notified and your child will be given a spot only if there are cancellations.

Name of Parent/Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Email
example@example.com

Emergency Contact (during VBS week between 9:15am to 12:15pm)
Please enter a valid phone number.Format: (000) 000-0000.
Name of Emergency Contact

First NameLast Name
Relationship with child
Child's Allergies
Special Needs

If you would like your child to be grouped with someone in his/her same grade, please indicate here:
Besides the parent/guardian, who may pick up your child at the end of VBS day? *Please indicate up to 3 guardians name and their relationship to the child.
My child and I currently attend a church:
How did you find out about VBS?
I would like to purchase the VBS Sing & Play Tune Lagoon Music CD (*additional cost $10)

**CONSENT TO MEDICAL TREATMENT** I/we, the parents or guardians named above, authorize one of the Fraser Lands Church Ministry Staff or Volunteers to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.
**LIABILITY RELEASE** I/we, named above undertake and agree to indemnify and hold blameless the Ministry Staff and Volunteers of Fraser Lands Church, its' Pastors and Board of Elders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Fraser Lands Church, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating Vacation Bible School.
**MEDIA RELEASE** I/we, named above, authorize Fraser Lands Church to use any photographs or video taken of my child while participating in the Online VBS hosted by Fraser Lands Church. I/we understand that photographs or video of my child may be used in newsletters, printed promotional materials, bulletin boards, annual reports, on the Fraser Lands Church website, and on official Fraser Lands Church social media and consent to such use. Note: photos or video where a person is not identifiable may be used without consent. It is my responsibility as a parent or guardian to instruct my child to avoid official ministry cameras if it is my preference that photos and videos of my child be used.
Today's Date

MonthDayYear
Date
Signature
Should be Empty: