Child's section will be next! You can add as many children as you need to on one form. No need for parents to fill out several forms! After the orange section at the bottom there is an "add another participant button" just click that to add another child!

First Name

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Last Name

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Address 1

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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The emergency info is the FIRST person we would call if your child is sick or injured. This could be the person who fills out the form, or someone else. This person would be contacted before the contact phone number listed above!

Thanks

Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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What church do you currently attend? *If you do not attend a church please put that you don't currently have a church (No Judgement here)

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Sunday Family Day June 9th, 10:00 A.M: We are having a family fun day, The children will sing during our church service and share testimonies. There will be lunch afterwards along with activities for the children. Please let us know if you are hoping to attend

Multiple selections are allowed.

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How did you hear about our VBS? If you saw a banner, please let us know where at! The more specific the better, thank you!

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For pickup this year (as stated in the video) you will come inside. ONLY those that have their names on the pickup sheet can pick up the child. Please make sure to add ANY names that may come get your child(ren). Feel free to use comment box below to add more names.

The name of the person filling out this sheet counts as 1, and then there are 2 alternative spots available.

If you need to go somewhere else in the church after pickup, you will need to get a pass at checkout so we know you have checked your child out. You will not allowed down the hallways withiut the pass! Thank you!

Alternate Pickup Name

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Alternate Pickup 2 Name

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Comments

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

Put the child's name they want on their name tag!!

First Name

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Last Name

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Child's Address IF different than ABOVE: Include city, and zip code (We will be sending the children special letters from their crew guides after VBS!)

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Please note you will put the grade your child JUST FINISHED.

**For 5 year old's please Pre-K BUT they must be FIVE years old by June 1st, 2024. We cannot accept children any younger than 5 by June 1st, 2024. Thank you for your understanding.

Grade Leaving

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Gender

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Date Of Birth

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I, Kylene (director), will send out a snack list for ELEMENTARY children before VBS, via email. If your child will be bringing their own snack, due to allergies, please make sure they have their First and Last names on their bag.

Thank you

FOOD Allergies

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Please understand we are unable to provide 1 on 1 "care" for your child. If your child needs 1 on 1, then you must stay with your child. Please be VERY specific with any "health or behavior" concerns. This helps us to make sure they have the best experience possible!!

Is there anything we need to know about your child in order to ensure a great week at VBS?

Multiple selections are allowed.

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Please clarify specifics from box above: Please provide additional details that will enable our volunteers to help with your child. We want your child to have a great time at VBS!

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Availability- if there is a day or more they CANNOT attend please mark it below

Multiple selections are allowed.

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If you realize after you register your child that they are unable to attend please contact the director as soon as you know. This may allow space for another child.

Kylene Smithkin - smithkinfamily@gmail.com

This is a signature section: Please type your name as your signature to the ones that apply to you.

I represent that I am the legal guardian of the child or children on this form and I hereby give Memorial Baptist Church the right and permission, with respect to photographs and videos taken of my child, or in which my child may be included with others, to use, re-use, publish and re-publish the same in whole or in part, severally or in conjunction with other photographs, in any medium and for any purpose whatsoever including illustration, promotion and advertising, social media and trade (excluding anything illegal or immoral).

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LIABILITY RELEASEI (we), the undersigned parent(s)/guardian(s) of child or children on form, a minor, do hereby authorize adult volunteers of Memorial Baptist Church as agent(s) for the undersigned, to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital. I further release from any liability Memorial Baptist Church, any of its ministers or leaders in the event of an accident in route, during and returning from the above mentioned event.

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Middle school ONLY (6th-8th ONLY): I the parent/guardian/grandparents authorize Memorial Baptist to transport my middle schooler during VBS

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Comments

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