VBS Registration 2018

VBS Registration 2025
Welcome to Vacation Bible School! Registrations are due by Wednesday, June 18.
As always, VBS is free and is open to children ages 3 through 12.

Monday, June 23 through Friday, June 27
5:30 P.M. to 8:00 P.M.

St. Anne's Church
6055 Azle Avenue
Fort Worth, TX 76135
817-237-1888
Website: stannesfw.org

VBS Coordinator: Maribel Martinez
Parent's or Guardian's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email
Please provide us with an email address so we can send you VBS updates, etc.
(Optional) Person, other than parent/guardian, authorized to pick up child

First NameLast Name
Phone number for person authorized to transport child

Area CodePhone Number
Emergency Contact (other than parent)*

First NameLast Name
Phone Number for Emergency Contact*

Area CodePhone Number
General permission and medical consent
I give permission for my child(ren) to attend Vacation Bible School at St. Anne’s Church. In case of illness or accident, I give permission to have my child(ren) evaluated and treated by available medical personnel. I understand that a reasonable attempt will be made to notify me in such an event. I also understand that no obligation or responsibility in regard to rendering treatment or medication is assumed or undertaken as a consequence of this activity; notwithstanding, the adults in charge have permission to authorize any medical care which, in their judgment, they deem necessary and to sign any medical forms necessary on my child(ren)’s behalf and I do hereby release The Episcopal Diocese of Fort Worth, St. Anne’s Church and all persons connected therewith from any liability, claim and expense related to any such condition, circumstance or treatment.

Photo consent
I give my permission for photos to be taken of my child(ren) during VBS and for these photos to be used by St. Anne's Church in advertising.

By submitting this registration form online, you agree to these consents and affirm that all of the information you're submitting is correct and complete.
How did you find out about VBS at St. Anne's Church?*

I attend St. Anne'sElectronic signFriend/relativeWebsiteOther
How can we help you and your family? (Check any that apply.)

Please send me your current weekly Scoop email.Please have Father DeWayne Adams contact me.Other

VBS Registration 2025