Middlebranch GBC VBS 2018 Registration

Jul 30 - Aug 3, 6:30 - 8:30PM, Age 3 - 7th grade | 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 info@middlebranchgbc.org.
Child Information

 
Please select one option.
 
 
 
 
Parent/Guardian Information

 
 
 
 
 
Please select one option.
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.
Please select all that apply.
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.
Please select one option.

Description

Jul 30 - Aug 3, 6:30 - 8:30PM, Age 3 - 7th grade
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 info@middlebranchgbc.org.