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YOUR CART
YOU'RE GOING TO LOVE VACATION BIBLE SCHOOL!
SPEED UP YOUR CHECK-IN AND HELP US PLAN FOR YOUR ATTENDANCE BY SUBMITTING THE FORM BELOW.
This Registration page is no longer active. Please visit our events page for up to date links.
Vacation Bible school registration
2022 | 6:30
pm
- 8:30
pm
Child Information
*
Indicates required field
Name of Child 1
*
First
Last
To register more than 3 children of the same household, please submit a separate form.
Age
*
Date of Birth
*
Last Grade Completed
*
Gender
*
Male
Female
Medical or other information we may need to know about the child (including food allergies).
*
Name of Child 2
*
First
Last
To register more than 3 children of the same household, please submit a separate form.
Age
*
Date of Birth
*
Last Grade Completed
*
Gender
*
Male
Female
Medical or other information we may need to know about the child (including food allergies).
*
Name of Child 3
*
First
Last
To register more than 3 children of the same household, please submit a separate form.
Age
*
Date of Birth
*
Last Grade Completed
*
Gender
*
Male
Female
Medical or other information we may need to know about the child (including food allergies).
*
Child Release Information
Parent or Legal Guardian Name
*
First
Last
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Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Names of persons to which the child may be released each night after VBS (Please provide at least one)
Name
*
First
Last
Name
*
First
Last
Name
*
First
Last
Emergency Contact 1 (other than parent/guardian listed above)
*
First
Last
Emergency Contact 1 Phone Number
*
Emergency Contact 2 (other than parent/guardian listed above)
*
First
Last
Emergency Contact 2 Phone Number
*
Name of church your child attends (if any)
*
Medical Release
As a parent or legal guardian, I give my permission for the above minor to attend Vacation Bible School activities June 26-30 2022. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted after a reasonable effort has been made to reach me by phone. I will not hold Thompson Road Baptist Church, or their staff, administration, or workers liable for any injury to or loss of possessions by the above minor during any activity at Vacation Bible School.
Choose One
*
YES, I give permission as stated above for my child regarding medical care
NO, I do NOT give permission for my child to receive medical care
In lieu of your signature, please enter your initials:
*
Media Release
By clicking the box below, I hereby give permission for photographs and/or video in which my child appears in to be used by Thompson Road Baptist Church in printed and/or electronic media, including the church's website.
Choose One
*
I Agree
I Do Not Agree
Other
Would you like to request bus pickup?
*
Yes
No
How did you hear about VBS at TRBC?
*
Sign/Drive By
Facebook
Postcard
A Friend
Door Hanger/Flyer
Other
Submit