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Welcome to PRE-REGISTRATION!
We are thrilled that you are planning to join us! See you at the farm!
Please complete the following registration form so you won't have to when you arrive! We look forward to seeing you in July!
- 2019 VBS Team of West Race
Check-In Each Night:
5:45PM
Info For Child Or Teen
*
Indicates required field
Name
*
First
Last
Invited By
*
Was your child invited by another child? If so, please provide the name of this child. We are having a contest to see who can bring the most friends.
Grade Completed
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Age
*
Birthdate (mm/dd/yyyy)
*
How many people in your family will be attending?
*
1
2
3
4
5
6
7
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Allergies / Health Conditions / Medications
*
Parent / Guardian Info
Name
*
First
Last
Phone Number
*
Email
*
Emergency Contact Info
Please provide the name and phone number of someone other than the child's parent or guardian.
Name
*
First
Last
Phone Number
*
Church Info
Do you have a church home?
*
Yes
No
If so, what is the name of your church?
*
If not, how may we contact you?
*
Call
Text
Mail
Email
Photography / Video Authorization
I acknowledge that any child registered on this form, as a participant in Vacation Bible School at West Race Baptist Church, may be photographed or captured on video during the Vacation Bible School program and activities. I hereby grant full permission to West Race Baptist Church to use photographs or videos-in print, electronic, online, or other public media-of the child registered on this form and further release West Race Baptist Church from any and all liability connected with the authorized use of words and image of the child registered on this form.
Check below if you read the above and agree.
*
I agree to the Photography / Video Authorization.
I do not agree to the Photography / Video Authorization.
Liability Release
In the event of an emergency, I understand that all will be done to contact me or the emergency contact named above. However, if neither can be reached, I give full permission to a representative of West Race Baptist Church to seek medical attention in my absence for the child registered on this form. I also hereby assume all risk, known or unknown, for the child registered on this form, in connection with their attendance and participation in Vacation Bible School at West Race Baptist Church. I acknowledge that participation in Vacation Bible School at West Race Baptist Church is voluntary and therefore I FULLY RELEASE and discharge West Race Baptist Church, its pastor, employees, directors, and volunteer workers, from any and all liability in connection with any activities carried on at West Race Baptist Church in the Vacation Bible School program.
Check below if you read the above and agree.
*
I agree to the above Liability Release.
Feedback
How did you hear about our VBS?
*
Church
Friend/Relative
Road Sign
Radio
Website
Facebook
Questions / Comments
*
Upon submission of the above information, please wait for a confirmation screen.
Submit
Home
About ↡
What We Believe
When & Where We Meet
Our Church History
Who We Are
Ministries ↡
Children
Students
Adults
>
KIT Luncheon
Men's Breakfast
Music
W.M.A.
Events ↡
Calendar
SOAR Conference
Thanksgiving Meal
>
Sign-Up for Meal
Media
Resources
Contact