VACATION BIBLE SCHOOL REGISTRATION 2025

FAMILY INFORMATION - PART 2

If you have multiple children registering for VBS, you only need to complete this section one time. GO RIGHT ON TO PAGE 3.
Please list the first and last names of children represented by the following family information.
Parent or Guardian Name 1

First NameLast Name
Phone Number - PARENT OR GUARDIAN 1
Parent or Guardian Name 2

First NameLast Name
Phone Number - PARENT OR GUARDIAN 2
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Home Church if you have one.
All are welcome here!
Designated Pick Up Person #1

First NameLast Name
Designated Pick Up Person #2

First NameLast Name
Designated Pick Up Person #3

First NameLast Name

SIGNATURE PAGE - PART 3

As per our Safe Church Plan, please note that all volunteers are screened and trained in safety protocols to ensure a safe and secure place of worship.
Pictures and videos will be taken throughout the week by Port Community Church VBS for use in our Craft Projects, Activities, Church social media, VBS Program. I hereby give my permission for my child to be included in the pictures.*
Please Initial
Medical Release: I (We), the parent(s) or guardian(s) of the above listed child(ren) grant permission for our child(ren) to participate in Vacation Bible School at Port Community Church and to receive medical treatment if necessary. If I (we) or the listed child care provider or emergency contact cannot be reached, I (we) give our permission to the staff to secure the services of a licensed physician to provide necessary care, including anesthesia, for my child's well-being. *
Please Initial
I (we) also release and agree to hold harmless Port Community Church and all its participants from any liability and assume all risk of injury, damage or expenses as the result of participation in activities in Vacation Bible School.*
Please Initial
Official Signature*

Clear
Type Above Name and Date (00/00/00)*
BE SURE TO HIT 'SUBMIT'.
Should be Empty:

CHILD INFORMATION - PART 1 - Each child must have their own page one of registration.