VBS 2018 Registration Form
August 13-17, 2018 | Please fill out this form and click submit.
Participant #1 Information
Name of Participant
*
Age
*
Sask. Health Card Number
*
Gender
*
Please select all that apply.
Male
Female
Does the participant have any allergies we should be aware of?
*
Participant #2 Information
Name of Participant
Age
Sask. Health Card Number
Gender
Please select one option.
Male
Female
Does the participant have any allergies we should be aware of?
Participant #3 Information
Name of Participant
Age
Sask. Health Card Number
Gender
Please select one option.
Male
Female
Does the participant have any allergies we should be aware of?
Caregiver Informaiton
Name
*
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Who will be picking up your child from VBS?
*
Disclosures
During this event, do you give permission for Celebration Church to photograph and use pictures of your child to be used for promotional purposes?
*
Please select one option.
Yes
No
Every scheduled activity during the 2018 VBS will have appropriate supervision. The leadership of the VBS week will take every precaution necessary to ensure the safety of the participants. By selecting yes, you are giving permission for the leadership of the 2018 VBS to, in the event of an emergency, take the necessary steps in order to assure the safety of your child as well as the other children that will be attending the event. Furthermore, you also agree to release the sponsoring ministries, employees and volunteers from any liability for damage, loss or injury to your child during this event. Do agree to this disclosure statement?
*
Please select one option.
Yes
No
Submit
Description
August 13-17, 2018
Please fill out this form and click submit.
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