2025 VBS Registration

Welcome to Faith Baptist Church Summer Bible Blast

Complete all sections to register your child(ren)

CHILD INFORMATION:

Please note we are unable to accommodate the needs of children not yet potty trained.
Child’s Name #1*

First NameLast Name
Last Grade Completed*
Child’s Name #2

First NameLast Name
Last Grade Completed
If pre-K must be potty trained
Child Name #3

First NameLast Name
Last Grade Completed
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Mobile Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternate Contact (If we are unable to reach you)*

First NameLast Name
Alternate Contact’s Phone Number*
Format: (000) 000-0000.
Child’s Medical Information
Allergies/Medical Concerns*
Food or other allergies, special needs, etc.
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Format: (000) 000-0000.

Parental/Guardian Release

Faith Baptist Church - 2025 Vacation Bible School
I, the parent or guardian, understand that by registering for VBS I am agreeing to the liability, medical, and photo/image releases as stated below for the minors listed in my online registration. I am at least age 18 and have the legal capacity to authorize this release.

Liability Release
Every activity sponsored by this VBS is carefully planned and supervised. However, I understand that even with the best planning and precaution, unforeseen events and injuries can occur. I agree to assume and accept all risks and hazards inherent in VBS-related activities including, but not limited to, transportation provided by Faith Baptist Church . I also agree not to hold this church or its employees or volunteer assistants liable for any injuries to the minor(s) listed in my registration, except for cases of gross negligence.

Medical Release
In the event that I cannot be reached in an emergency during this event, I hereby give my permission to the medical facility, physician or dentist selected by this VBS leadership or church leadership to secure proper treatment and/or order an injection, anesthesia, hospitalization or surgery for my child as deemed medically necessary by a medical professional.
Image Release
I understand that church events are often photographed/recorded for publication and public relations (i.e. end-of-year videos, website promo’s, flyers, etc), and I hereby grant irrevocable permission to this VBS to indefinitely use photos/videos of my child(ren) for these purposes (including, but not limited to print, projection, the internet, etc). I waive my right to inspect and approve such use, but such use must be related solely to this VBS and church and must not identify my child by name. I release the church from any and all claims arising out of said use, including but not limited to claims of libel and invasion of privacy.
AgreeDo not agree
Authorization

I, the parent or guardian, understand that by registering for VBS I am agreeing to the liability, medical, and photo/image releases as stated above for the minors listed in my online registration. I am at least age 18 and have the legal capacity to authorize this release.
Type Name to Authorize Registration*
Should be Empty:

Welcome to Faith Baptist Church Summer Bible Blast

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

Child’s Medical Information

Parental/Guardian Release

Authorization