VBS Summer Camp Detailed Registration Form

Vacation Bible School

Provided by Mill Woods All-Nations Seventh-day Adventist Church
Camp Information
Welcome to VBS Mission Space Rescue! Join us for a fun-filled week of learning, games, and activities centered around faith and friendship.

When: July 20 - 24th, 9AM - 3PM

Complimentary Extended Care from 8AM - 9AM and 3PM - 4 PM

Where: Leefield Community League - 7910 36 Ave NW, Edmonton, AB T6K 1H7

Who: Children aged 5-12

Price: $0 CAD per Child (Donations are welcome at etransfer@MillwoodsAdventist.ca. Donations are eligible for 2026 tax receipts in February 2027.)

Come meet new friends and grow in your relationship with God. Don't miss out on this exciting opportunity to make memories that will last a lifetime!

“And behold, I am coming quickly, and My reward is with Me, to give to every one according to his work. I am the Alpha and the Omega, the Beginning and the End, the First and the Last.”

Blessed are those who do His commandments, that they may have the right to the tree of life, and may enter through the gates into the city. Revelation 22:12-14

VBS Graduation Ceremony:

When: Saturday July 25, 2026, 3PM - 5PM

Where: Lord of Life Lutheran Church 2710 79 St NW, Edmonton, AB T6K 3Z1

Who: Children who attended VBS and their families

Light refreshments will be served and awards will be presented.

https://www.millwoodsadventist.ca/
Participant Information
Address

Street Address

Street Address Line 2

City Province

Postal Code
Home Church? (if any)
How many friends and/or family will attend the VBS graduation ceremony on July 25, 2026 from 2:30pm-4:30pm?
Will you be requiring a 4pm curtesy pickup time?
Parent/Guardian Information
Primary Parent/Guardian Name

First NameLast Name
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
example@example.com
Secondary Parent/Guardian Name (optional)

First NameLast Name
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
example@example.com
Emergency Information
Emergency Contact's Name (preferably an alternative contact in case Parent/Guardian is not reachable)

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Does the participant(s) have any allergies or dietary restrictions? If yes, please list them below:
Is the participant(s) currently taking medications? If yes, please list them below and provide the reason:
Does the participant(s) have any medical condition that we should be aware of? If yes, please explain below:
Please provide any additional information that you think is important or may affect the participants ability to fully participate in the camp program.
Terms and Conditions
I allow my child to participate in this program.

I hereby authorize the church, bible study conductor, volunteer personnel to conduct first aid, and medical care in the event of an emergency situation.

I agree to pay for all the medical care expenses and costs in a given situation that medical care is needed.

I release the organizers from any liabilities that might happen during the activity and hold them harmless in the event of damages, injuries, or accidents.
Do you allow the organizers to take photos or videos during the activities of your child for advertising and marketing purposes that will be posted on social media?
I confirm that all information in this form is accurate and true to the best of my knowledge.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Name of Parent/Guardian
Date

MonthDayYear
Date
Should be Empty:

Vacation Bible School

Camp Information

Participant Information

Parent/Guardian Information

Emergency Information

Terms and Conditions