2020 VBS "WILDERNESS ESCAPE: Where God Guides & Provides" Date: June 7th - 10th Time: 6:30 PM - 8:45 PM For Ages: 3 years to 6th Grade Child's' Name: Childs Age: Childs Grade in Fall 2020: Parents Names: Address: City: Zip: E-mail: Phone: Work: Cell: Emergency Contact Person: Emergency Contacts Phone: Emergency Contacts Cell: Church membership at: Please list any medical/health conditions or allergies that we should be aware of: Video/Photo & Activities Release: I hereby grant the VBS leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program. I also grant permission for my child to participate in the fitness activities each night. Signature of Parent or Guardian: Date: Fill Out Form And Print To Turn In: Fill Out Form & Submit To VBS Director: If you have any questions please e-mail Rev. Ellen Broome:
2020 VBS
"WILDERNESS ESCAPE: Where God Guides & Provides"
Date: June 7th - 10th
Time: 6:30 PM - 8:45 PM
For Ages: 3 years to 6th Grade
Child's' Name:
Childs Age: Childs Grade in Fall 2020:
Parents Names:
Address:
City: Zip: E-mail:
Phone: Work: Cell:
Emergency Contact Person:
Emergency Contacts Phone: Emergency Contacts Cell:
Church membership at:
Please list any medical/health conditions or allergies that we should be aware of:
Video/Photo & Activities Release: I hereby grant the VBS leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program. I also grant permission for my child to participate in the fitness activities each night.
Signature of Parent or Guardian: Date:
Fill Out Form And Print To Turn In:
Fill Out Form & Submit To VBS Director:
If you have any questions please e-mail Rev. Ellen Broome:
