VBS 2026 Youth Registration Form

Community Baptist Church of Englewood Vacation Bible School (VBS) 2026 YOUTH Registration

Please fill in the form below.
Child's Name

First NameLast Name
Grade Level as of September 2026:
Child's Current Age:
Second Child's Name:

First NameLast Name
Child's Current Age:
Grade/Level:
Parent/Guardian Name:

First NameLast Name
Parent/Guardian Name:

First NameLast Name
Best Phone Number:

Area CodePhone Number
E-mail:
1. Authorized Pick-up Person:

First NameLast Name
Phone Number

Area CodePhone Number
2. Additional Authorized Pick-up Person:

First NameLast Name
Best Phone Number:

Area CodePhone Number
If a meal/snack is served prior to start of VBS classes, would your child partake?

Special Needs (Child 1):
Special Needs (Child 2):
Registration Statement

I hereby register my child to participate in 2026 Vacation Bible School and agree that he/she will adhere to the protocols and policies of Community Baptist Church of Englewood (CBC) during all activities. I hereby give consent for CBC to secure and authorize emergency medical treatment for my child in the event of an emergency during 2026 Vacation Bible School.

My initials below indicate that I have read and agree with this statement.
Parent/Guardian Initials:
Walk Home Authorization (Teens ages 13-17)

My child named above has my permission to leave the 2026 Vacation Bible School during the week of July 21-24, 2026 and walk/bike home without an adult escort. I understand that CBC and its staff are not responsible for my child’s safety after their departure. Walkers/bikers are not to leave Vacation Bible School before their class is dismissed unless a signed note has been sent by the parent/guardian stating the exact time the child is to leave.

My initials below indicate that I have read and agree with this statement.
Parent/Guardian Initials:
Photo Release

For valuable consideration received, I hereby grant Community Baptist Church of Englewood, its representatives, licensees, and assigns, the right and unrestricted permission to use my child’s photo including, but not limited to use in any and all of its publications, including website entries, without payment or other consideration.

I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless, release and forever discharge Community Baptist Church of Englewood, its representatives, licensees, and assigns from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have but for this authorization.

I have read this release before initialing below and I fully understand the contents, meaning, and impact of this release.
Parent/Guardian Initials:
If you do not wish to have your child's picture used, please initial below.
Parent/Guardian Initials:
***PARENTS ARE REQUIRED TO ACCOMPANY CHILDREN DURING MEALS; HENCE, AN ALLERGY CATEGORY IS NOT NECESSARY.***
Should be Empty:

Community Baptist Church of Englewood Vacation Bible School (VBS) 2026 YOUTH Registration