Vacation Bible School 2026

Parent/Guardian Contact
Parent/Guardian Name(s)*
Full Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid mobile phone number with text message capabilities. Format: (000) 000-0000.
- Emergency Contact Name
  Full Name
- Emergency Contact Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.

1. Release of Liability (Required): I, for myself, my minor child and for the child's other parent and/or guardian, hereby release, waive, discharge, and covenant not to sue First Baptist Church, and its officers, director, employees, agents, volunteers, heirs, and assigns of and from all liability, loss, claims, demands, possible causes of action, court costs, attorneys' fees and other expenses arising from any lawsuit that may otherwise occur from any loss, damage or injury to my child's person or property in any way resulting from or connected with my child's attendance at Vacation Bible School @ Cedaredge FBC, including, without limitation, the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons.
Release of Liability*

I Accept
2. Photo Release (Optional): I give permission for my child's photo, which may be taken during Vacation Bible School to appear on the church website https://www.cedaredgefbc.org/ or be used for publicity or display purposes.
Photo Release*

AcceptOpt out
3. Consent to Medical Treatment (Optional): In the event my child becomes ill or injured, I give permission for a representative of First Baptist Church to take whatever steps are reasonably necessary to render emergency first aid to my child. I also consent to such emergency medical treatment as may be reasonably necessary to render emergency first aid to my child. I also consent to such emergency medical treatment as may be reasonably necessary to insure the health and welfare of my child including, but not limited to, x-rays, anesthetic, medical or surgical diagnosis and treatment, hospital care and administration of drugs or medicine under the care of a licensed physician and/or surgeon.
Consent to Medical Treatment*

AcceptOpt out
4. FBC Contact Permission Authorization (Optional): Occasionally your child's group leader may wish to contact you and your child to see how they are enjoying club. Your child's leader might also like to send written correspondence such as "Get well" and "Birthday Card" cards. By signing below you are giving your child's leader written permission as the legal parent/guardian to contact you and your child, by written communication and by telephone to discuss club activities.
FBC Contact Permission Authorization*

AcceptOpt out
Home Church (Optional)
Where do you go to church (if applicable)?
How did you hear about us? (Optional)
Let us know how you heard about us.
Additional Comments? (Optional)
Confirm this information
By typing my name in the field, I certify that all the information in this form is accurate to the best of my knowledge.
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Vacation Bible School 2026

Child Information

Parent/Guardian Contact