VBS Registration

2018 VBS Registration

Girl or Boy (click one)*

Parent's Address*

,  

( )   -

( )   -

( )   -

( )   -

I give permission for my son/daughter to attend Vacation Bible School. In signing this application I  hereby certify that this information is correct. IN CASE OF EMERGENCY, I understand that every effort will be made to contact parents or guardians in the event that I cannot be reached, I hereby give my permission to the physician selected by the VBS personnel to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery of my child as named herein. It is understood that I will assume full responsibility for the payment of services and I hereby release Northview Bible Church, its staff, and it volunteers from any liability.