Operation Arctic VBS 2017 Registration Form

July 10-14, 2017 6:30-8:30PM | Please fill out the following form for each child you wish to enroll in Vacation Bible School. If you have any questions, please call the church office at 330-499-6691 or e-mail [email protected]
Child Information

Parent/Guardian Information

Emergency Contact

Medical Release

I , the parent or guardian grant permission for my child to participate in Vacation Bible School at Middlebranch Grace Brethren Church and to receive medical treatment if necessary. If I or the listed emergency contact cannot be reached, I give my permission to secure the services of a licensed physician to provide necessary care for my child's well-being. By accepting below, I also release and agree to hold harmless Middlebranch Grace Brethren Church and all its participants from any liability and assume all risk of injury, damage, or expenses as a result of participation in activities in Vacation Bible School.
Photo/Video Release

I understand that as a participant in Middlebranch GBC's VBS, my child may be photographed or videotaped during VBS events. I also understand these may be used in presentation and promotional materials for the church. I release Middlebranch GBC from any and all liability.

Description

July 10-14, 2017 6:30-8:30PM
Please fill out the following form for each child you wish to enroll in Vacation Bible School. If you have any questions, please call the church office at 330-499-6691 or e-mail [email protected]