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VBS REGISTRATION FORM (July 6 - 10, 2020) Family Name: ___________________________________________________________________ Mother’s Name: ___________________ ___________________ Father’s Name: ___________________ ___________________ First Last First Last Address: (Apt. # __________) Street: _____________________________________________ City: ___________________________ Postal Code: _____________________________________ Home Phone: ______________________________________________ Parent's Email Address: _________________________________________ or __________________________________________ Business Phone: Mother: ___________________________________ Father: ___________________________________ Cell Phone: Mother: ___________________________________ Father: ___________________________________ Emergency Contact (Name and Phone Number): ____________________________________________________________________ Home Church: _________________________________ How did you hear about VBS?: _________________________________ OWN TRANSPORTATION: YES NO BUS TRANSPORTATION: YES NO Circle a school bus pick up location: Clara Hughes Public School Dr. Emily Stowe Public School Norman G. Powers Public School David Bouchard Public School Sherwood Public School Queen Elizabeth Public School PHOTOGRAPHS: I give permission for my child’s/children’s photo to be taken to use in a take home craft and as a part of the DVD slideshow for Friday’s Parents’ Day Program. From time to time, photos/videos of the children are taken during the program to use in future internal congregational meetings to celebrate the fun times we have had at VBS (these photos will not be used online or outside of Calvary Baptist Church). Do you give permission for the use of photos for these purposes? GRADE 6/7/8 ONLY - PHOTO/VIDEO OPT OUT: We often take pictures at our events to help preserve memories and foster community. We assume the right to use some pictures to help promote an awareness of what goes on in our ministries on our website, Instagram, and in our publications (newsletters, ministry updates and promotions). Please check this box if you do NOT want images of your children used in these ways. IN CASE OF ACCIDENT ILLNESS OR INJURY while attending VBS: Every effort will be made to contact parents. It is understood that by permitting my child/ren to attend Vacation Bible School (VBS), I am agreeing that Calvary Baptist Church and anyone acting on its behalf, will be released from any liability for injuries to my child/ren that may be occasioned at the church property, or on the bus. I give permission to the Church Staff, Director and Assistant Director of VBS to make decisions in case of an emergency on behalf of my child/ren when I am not immediately available for consultation. SIGNATURE: __________________________________________________ DATE: ___________________________________ COMPLETE REGISTRATION ON BACK YES NO YES NO

VBS REGISTRATION FORMd57c3228655a0840236f-dc305689fbbd56f80e24d08855f158f0.r68.c… · VBS REGISTRATION FORM (July 6 - 10, 2020) ... It is understood that by permitting my child/ren

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Page 1: VBS REGISTRATION FORMd57c3228655a0840236f-dc305689fbbd56f80e24d08855f158f0.r68.c… · VBS REGISTRATION FORM (July 6 - 10, 2020) ... It is understood that by permitting my child/ren

VBSREGISTRATIONFORM

(July6-10,2020)

FamilyName:___________________________________________________________________Mother’sName:______________________________________Father’sName:______________________________________

First Last First LastAddress:(Apt.#__________)Street:_____________________________________________City:___________________________PostalCode:_____________________________________HomePhone:______________________________________________Parent'sEmailAddress:_________________________________________or__________________________________________BusinessPhone:Mother:___________________________________Father:___________________________________CellPhone:Mother:___________________________________Father:___________________________________EmergencyContact(NameandPhoneNumber):____________________________________________________________________

HomeChurch:_________________________________HowdidyouhearaboutVBS?:_________________________________OWNTRANSPORTATION:YESNO BUSTRANSPORTATION:YESNOCircleaschoolbuspickuplocation:

ClaraHughesPublicSchool Dr.EmilyStowePublicSchoolNormanG.PowersPublicSchool DavidBouchardPublicSchoolSherwoodPublicSchool QueenElizabethPublicSchool

PHOTOGRAPHS:Igivepermissionformychild’s/children’sphototobetakentouseinatakehomecraftandasapartoftheDVDslideshowforFriday’sParents’DayProgram.Fromtimetotime,photos/videosofthechildrenaretakenduringtheprogramtouseinfutureinternalcongregationalmeetingstocelebratethefuntimeswehavehadatVBS(thesephotoswillnotbeusedonlineoroutsideofCalvaryBaptistChurch).Doyougivepermissionfortheuseofphotosforthesepurposes?GRADE6/7/8ONLY-PHOTO/VIDEOOPTOUT:Weoftentakepicturesatoureventstohelppreservememoriesandfostercommunity.Weassumetherighttousesomepicturestohelppromoteanawarenessofwhatgoesoninourministriesonourwebsite,Instagram,andinourpublications(newsletters,ministryupdatesandpromotions).PleasecheckthisboxifyoudoNOTwantimagesofyourchildrenusedintheseways.INCASEOFACCIDENTILLNESSORINJURYwhileattendingVBS:Everyeffortwillbemadetocontactparents.Itisunderstoodthatbypermittingmychild/rentoattendVacationBibleSchool(VBS),IamagreeingthatCalvaryBaptistChurchandanyoneactingonitsbehalf,willbereleasedfromanyliabilityforinjuriestomychild/renthatmaybeoccasionedatthechurchproperty,oronthebus.IgivepermissiontotheChurchStaff,DirectorandAssistantDirectorofVBStomakedecisionsincaseofanemergencyonbehalfofmychild/renwhenIamnotimmediatelyavailableforconsultation.SIGNATURE:__________________________________________________ DATE:___________________________________

COMPLETEREGISTRATIONONBACK

YESNO

YESNO

Page 2: VBS REGISTRATION FORMd57c3228655a0840236f-dc305689fbbd56f80e24d08855f158f0.r68.c… · VBS REGISTRATION FORM (July 6 - 10, 2020) ... It is understood that by permitting my child/ren

RegistrantsmustbeJKGrads(BirthYear2015)toGrade8Grads(BirthYear2006)Child#1:FirstandLastName:_______________________________________________________________________________Birthdate:Year:__________Month:__________Day:__________Gender:GirlBoySpecialNeeds/BehaviouralChallenges/Allergies:___________________________________________________________________DoesallergyrequireEpi-Pen?:YesNo1:1AssistanceRequired/NameofSupportPerson:_______________________FRIENDREQUEST-First/LastNameofFriend:______________________________________GradeofFriend:______________Child#2:FirstandLastName:_______________________________________________________________________________Birthdate:Year:__________Month:__________Day:__________Gender:GirlBoySpecialNeeds/BehaviouralChallenges/Allergies:___________________________________________________________________DoesallergyrequireEpi-Pen?:YesNo1:1AssistanceRequired/NameofSupportPerson:_______________________FRIENDREQUEST-First/LastNameofFriend:______________________________________GradeofFriend:______________Child#3:FirstandLastName:_______________________________________________________________________________Birthdate:Year:__________Month:__________Day:__________Gender:GirlBoySpecialNeeds/BehaviouralChallenges/Allergies:___________________________________________________________________DoesallergyrequireEpi-Pen?:YesNo1:1AssistanceRequired/NameofSupportPerson:_______________________FRIENDREQUEST-First/LastNameofFriend:______________________________________GradeofFriend:______________Child#4:FirstandLastName:_______________________________________________________________________________Birthdate:Year:__________Month:__________Day:__________Gender:GirlBoySpecialNeeds/BehaviouralChallenges/Allergies:___________________________________________________________________DoesallergyrequireEpi-Pen?:YesNo1:1AssistanceRequired/NameofSupportPerson:_______________________FRIENDREQUEST-First/LastNameofFriend:______________________________________GradeofFriend:______________Child#5:FirstandLastName:_______________________________________________________________________________Birthdate:Year:__________Month:__________Day:__________Gender:GirlBoySpecialNeeds/BehaviouralChallenges/Allergies:___________________________________________________________________DoesallergyrequireEpi-Pen?:YesNo1:1AssistanceRequired/NameofSupportPerson:_______________________FRIENDREQUEST-First/LastNameofFriend:______________________________________GradeofFriend:______________


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