VBS Child registration 2025

Parent/s Name

This address will receive a confirmation email

Phone

Address

Church Home

Child's Name

Grade entering fall 2025

Pre-K K 1st 2nd 3rd 4th 5th 6th

Allergies or specific conditions we need to be aware of?

Emergency Contact (In case parent cannot be reached)

Phone

In the event of an emergency that requires medical treatment for the above named child, I understand reasonable effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to the Temple Hill Baptist Church volunteers to secure the services of a licensed physician to provide the care necessary for my child’s well being. I accept responsibility for all costs connected to any accident or treatment of my child.

Yes No

I give permission for photo(s) of my child to appear among other general Temple Hill Baptist Church photos as long as there is no identifying information shown.

Yes No

I understand that my child(ren) may participate in physical activities. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability any persons involved at Temple Hill Baptist Church..

Yes No

VBS Child registration 2025

Description

Please Fix the Following