2023 VBS Registration Form

June 4 - 8, 2023 | 5:30p - 8:00p | We are so excited for our VBS Program this Summer! Our theme is Stellar: Shine Jesus' Light. Our VBS Program is for children 4 years old through 5th grade level (by September 1, 2022). Please take the time to completely fill out this form. If you have more than one child that will be attending, please fill out a separate form for each child. If you have any questions or concerns, please contact us at info@calvarybcp.com!
Parent Information

If not applicable, please type n/a.
 
 
 
 
 
 
 
 
 
Child Information

 
 
Please select one option.
Please select one option.
 
 
Pick-up Information

Please list who you (the parent/legal guardian) authorize - other than yourself or spouse - to pick-up your child from VBS.
 
 
 
 
 
 
 
 
 
Medical Information

In case of an emergency CALVARY BAPTIST CHURCH has the permission to administer the following medication to my child.

Please check the following medication that you approve for your child. Please type any specifications or notes in the "notes" section at the bottom.
Please select all that apply.
 
Media Consent

CALVARY BAPTIST CHURCH has my permission to use photographs and videos of my child for any public advertisement, including, but not limited to social posts, website posts, or email distribution.

Furthermore, I understand that no royalty, fee, or other compensation shall become payble to me by reason of such use.
Please select one option.
Signature

In the event that all reasonable attempts to contact me have been unsuccessful, I give my consent to the administration to my child of any medical treatment deemed necessary by a licensed physician and the transfer of my child to any hospital reasonably accessible. I understand and agree that CALVARY BAPTIST CHURCH does not assume responsibilty for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment.
Please select all that apply.
 
 
If your child has a fever, cold-like symptoms or has been around anyone with COVID-19, please keep them at home for health and safety purposes

Description

June 4 - 8, 2023 | 5:30p - 8:00p
We are so excited for our VBS Program this Summer! Our theme is Stellar: Shine Jesus' Light. Our VBS Program is for children 4 years old through 5th grade level (by September 1, 2022). Please take the time to completely fill out this form. If you have more than one child that will be attending, please fill out a separate form for each child. If you have any questions or concerns, please contact us at info@calvarybcp.com!