Vacation Bible School Registration June 2-6, 2025

Emergency Contact:*

First NameLast Name
Emergency Contact Phone:*
Who is Picking up Child:
Special Needs / Alergies / Concerns:
Vacation Bible School (VBS) leaders have permission to photograph/film the minor(s) designated above, and post those photographs/videos on Lebanon Baptist Church website and Facebook page:

YesNo
Vacation Bible School (VBS) leaders have permission to photograph the minor(s) designated above, and print those photographs for craft purposes:

YesNo

Parental Consent I hereby consent to let my child participate in the VBS event, Breaker Rock Beach, and to participate in the water games during recreation. It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Lebanon Baptist Church, its staff and its volunteers are hereby released from any liability.
Child's Name of Consent:*

First NameLast Name
Parent's Name:*

First NameLast Name
Date:

MonthDayYear
Date
Hour MinutesAM/PM Option
By submitting this form, I give consent to Lebanon Baptist Church of the child above.
Should be Empty:

Registration Form