VBS Registration Form 🧱✨🎉
Quick and easy registration for Harrisonville Baptist Church's 'Build a Life with Jesus' VBS. Have your child's details ready to join the fun!
Child’s Full Name
*
First Name
Last Name
Child’s Age
*
Grade Completed
*
Please Select
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies or medical needs?
Anything else we should know to help your child have a great time?
Liability Waiver & Consent
I, the parent or legal guardian of the above-named child, give permission for my child to participate in Vacation Bible School activities hosted by Harrisonville Baptist Church. I understand that these activities may include games, crafts, outdoor play, snacks, and other group activities.I acknowledge that participation in these activities involves some risk of injury. I agree that I will not hold Harrisonville Baptist Church, its staff, volunteers, or representatives responsible for any injury, illness, or accident that may occur during VBS, except in cases of gross negligence.In the event of an emergency, I authorize the staff or volunteers of Harrisonville Baptist Church to obtain medical treatment for my child if I cannot be reached. I understand that I am responsible for any medical expenses incurred.By signing below, I confirm that my child is physically able to participate and that I have disclosed any medical conditions, allergies, or special needs.
Signature
*
Let’s Build!
Let’s Build!
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