At the right, please enter the number of children you would like to register to partipate in VBS 2107.
In the event that I, the parent/guardian, am unable to pick up my child, I authorize the following adults listed below to pick up him/her from Community Reformed VBS. I understand this must be an adult (no siblings may pick up my child) and ONLY the people listed will be allowed to pick up my child. Only prior written agreed-upon authorization will be accepted.
In submitting this form, I certify that the above information is correct and give permission for the use of photographs including my son/daughter to be used in church publicity. On behalf of my child participant, I assume all risk of personal injury, damage, and expense as the result of participation in the Community VBS. I authorize staff to obtain proper medical diagnosis, hospitalization, secure proper treatment for, and to order injection, anesthesia, or surgery of my child, and I assume the responsibility of all medical bills, if any.
Please understand, we request this information because of our commitment to the safety and well-being of each child attending Community Reformed Church’s Vacation Bible School.