VBS Registration 2023 – CROSSROADS PRESBYTERIAN CHURCH

VBS Registration 2023

Keepers of the Kingdom: Standing Strong in the Battle for Truth
FAMILY VBS Registration Form
June 12-16, 2023 7:00-9:15 PM Lite Dinner: 6:15 PM

Parent Name

Parent Name

First

First

Last

Last

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Emergency Phone

Persons Authorized To Pick up Child/Children

Name Of Person Authorized to Pick Up Child

Name Of Person Authorized to Pick Up Child

First

First

Last

Last

Relation To Child/Children

My Child/Children have special needs. Please talk with me.

List all Special Needs

Name

Name

First

First

Last

Last

Medical Consent:

In order to meet legal requirements, I hereby authorize Crossroads Presbyterian Church VBS staff to administer any and all necessary medical care while my child/children/teen is/are in their custody.

Text

Video Release

I hereby give Crossroads Presbyterian Church permission to use photographs, video and audio of my child participating in our Vacation Bible School. This media is to be used only on the crossroads-pc.com website on a page requiring a password for the purpose of promoting Vacation Bible School and letting the members see all the activities in which the children are involved.

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